is a Pediatric Dentistry in Long Grove, Illinois. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for is 1730290685. The last update date is .
's current location address is 4160 Rfd, Long Grove, Illinois. You can contact this provider via phone number 8476346166. The mailing address for is 4160 Rfd, Long Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4160 Rfd, Long Grove, Illinois |
| Phone Number | 8476346166 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730290685 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4160 Rfd |
|---|---|
| City | Long Grove |
| State | Illinois (IL) |
| Post Code | 600479583 |
| Phone Number | 8476346166 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 019-019693 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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