Periodontics & Implants, Ltd.

NPI #1962653600 in Evanston, Illinois

Provider Information

NPI Number
1962653600
Entity Type
Organization
Organization Name
Periodontics & Implants, Ltd.
Primary Specialty
Dentist - Periodontics
Enumeration Date
Sep 30, 2008
Last Updated
Sep 30, 2008

Practice Location

Address
636 CHURCH ST
Address 2
SUITE 707
ZIP Code
60201-4508
Phone
(847) 491-1880

Authorized Official

Name
DR. RICHARD C PRENDERGAST, D.D.S., M.S.
Title
PRESIDENT/PERIODONTIST
Phone
(847) 491-1880

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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