River Forest Dental Studio
NPI #1962747584 in River Forest, Illinois
Provider Information
- NPI Number
- 1962747584
- Entity Type
- Organization
- Organization Name
- River Forest Dental Studio
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 7, 2012
- Last Updated
- Dec 10, 2012
Practice Location
- Address
- 7700 MADISON ST
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-2102
- Phone
- (708) 366-6760
Authorized Official
- Name
- DR. GINA MARIE PICCIONI
- Title
- DMD
- Phone
- (708) 366-6760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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