Premier Dental Clinc, LLC
NPI #1811168800 in North Riverside, Illinois
Provider Information
- NPI Number
- 1811168800
- Entity Type
- Organization
- Organization Name
- Premier Dental Clinc, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Mar 20, 2020
Practice Location
- Address
- 7345 W 25TH ST
- City
- North Riverside
- State
- Illinois
- ZIP Code
- 60546-1409
- Phone
- (708) 447-0900
Authorized Official
- Name
- PHIL KURAL
- Title
- DIRECTOR DOCTOR CREDENTIALING
- Phone
- (312) 274-4526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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