Parkside Dental, LLC
NPI #1922309400 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1922309400
- Entity Type
- Organization
- Organization Name
- Parkside Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2010
- Last Updated
- Nov 15, 2010
Practice Location
- Address
- 1645 S. RIVER RD.
- Address 2
- SUITE 21
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60018
- Phone
- (847) 299-4811
Authorized Official
- Name
- MR. RICHARD HUGH MCKONE, DDS
- Title
- PRESIDENT
- Phone
- (309) 693-0043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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