Procare Dental Group, P.c.

NPI #1841357084 in Evanston, Illinois

Provider Information

NPI Number: 1841357084
Entity Type: Organization
Organization Name: Procare Dental Group, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: PROCARE DENTAL GROUP, P.C.
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 820 DAVIS ST
Address 2: STE 460
City: Evanston
State: Illinois
ZIP Code: 60201-4431
Phone: (847) 332-2226

Authorized Official

Name: DR. ROBERT G. BRUNETTI, D.D.S.
Title: C.E.O.
Phone: (847) 640-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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