Elmhurst Dental Group, Ltd. DBA St. Charles Dental
NPI #1891028452 in St Charles, Illinois
Provider Information
- NPI Number
- 1891028452
- Entity Type
- Organization
- Organization Name
- Elmhurst Dental Group, Ltd. DBA St. Charles Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ELMHURST DENTAL GROUP, LTD
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 15, 2009
- Last Updated
- Sep 15, 2009
Practice Location
- Address
- 2455 DEAN ST
- Address 2
- UNIT E
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60175-4830
- Phone
- (630) 377-7760
Authorized Official
- Name
- DR. LAWRENCE P GROH
- Title
- OWNER
- Phone
- (630) 833-5110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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