Prairie Dental of Oak Park LLC

NPI #1831742733 in Oak Park, Illinois

Provider Information

NPI Number
1831742733
Entity Type
Organization
Organization Name
Prairie Dental of Oak Park LLC
Primary Specialty
Dentist
Enumeration Date
Jul 19, 2019
Last Updated
Jul 19, 2019

Practice Location

Address
1010 LAKE ST
ZIP Code
60301-1147
Phone
(219) 465-8627

Authorized Official

Name
OSCAR G GONZALEZ
Title
DIRECTOR OF OPERATIONS
Phone
(219) 465-8627

Specialties & Taxonomy Codes

Specialty
Dentist

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