is a General Practice in Glendale Hts, Illinois. practices all healthcare services and medical treatments related to General Practice. The NPI Number for is 1346407335. The last update date is .
's current location address is 328 E Army Trail Rd, Glendale Hts, Illinois. You can contact this provider via phone number 6309245579. The mailing address for is 328 E Army Trail Rd, Glendale Hts, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 328 E Army Trail Rd, Glendale Hts, Illinois |
| Phone Number | 6309245579 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1346407335 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 328 E Army Trail Rd |
|---|---|
| City | Glendale Hts |
| State | Illinois (IL) |
| Post Code | 60139 |
| Phone Number | 6309245579 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19019714 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19019714 | IL | -- |
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