Partridge Dental

NPI 1255748299 - Dentist - 1223G0001X

NPI Details
NPI 1255748299
Enumeration Date 07/22/2014
Last Updated 07/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHAEL MICHAEL
Position OWNER
Phone (847) 635-6268
Fax
Practice Location
690 1ST AVE
DES PLAINES IL, 60016-9110, US
Phone (847) 635-6268
Fax
Business Location
690 1ST AVE
DES PLAINES IL, 60016-9110, US
Phone (847) 635-6268
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019.029903
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According to our database, Partridge Dental NPI is 1255748299, taxonomy code is 1223G0001X and license number is 019.029903, license state is located at Illinois. Partridge Dental physically located at 690 1st Ave, Des Plaines IL, 60016-9110. NPI Number 1033115704 has the healthcare provider type.

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1255748299 NPI number is provided on an as is basis without warranty of any kind. 1255748299 is maintained by the National Plan & Provider Enumeration System. The contents of Partridge Dental are for informational purposes only.