Orland Park Dental Services

NPI 1215107966 - Dentist - 1223G0001X

NPI Details
NPI 1215107966
Enumeration Date 03/10/2008
Last Updated 03/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ERIC ERIC
Position PRESIDENT
Phone (309) 692-1320
Fax (309) 692-1355
Practice Location
809 W DETWEILLER DR
SUITE 805A
PEORIA IL, 61615-2149, US
Phone (309) 692-1320
Fax (309) 692-1355
Business Location
8120 KATY LN
ORLAND PARK IL, 60462-6112, US
Phone (708) 226-0091
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1215107966 NPI Number
 

According to our database, Orland Park Dental Services NPI is 1215107966, taxonomy code is 1223G0001X Orland Park Dental Services physically located at 809 W Detweiller Dr, Peoria IL, 61615-2149. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215107966 NPI number is provided on an as is basis without warranty of any kind. 1215107966 is maintained by the National Plan & Provider Enumeration System. The contents of Orland Park Dental Services are for informational purposes only.