Worth Palos Dentistry

NPI 1588839849 - Dentist - 1223G0001X

NPI Details
NPI 1588839849
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RICHARD ANDREW RICHARD
Position PRESIDENT
Phone (708) 974-1319
Fax (708) 974-4463
Practice Location
7630 W 111TH ST
PALOS HILLS IL, 60465-2302, US
Phone (708) 974-1319
Fax (708) 974-4463
Business Location
7630 W 111TH ST
PALOS HILLS IL, 60465-2302, US
Phone (708) 974-1319
Fax (708) 974-4463
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19022901
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According to our database, Worth Palos Dentistry NPI is 1588839849, taxonomy code is 1223G0001X and license number is 19022901, license state is located at Illinois. Worth Palos Dentistry physically located at 7630 W 111th St, Palos Hills IL, 60465-2302. NPI Number 1033115704 has the healthcare provider type.

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1588839849 NPI number is provided on an as is basis without warranty of any kind. 1588839849 is maintained by the National Plan & Provider Enumeration System. The contents of Worth Palos Dentistry are for informational purposes only.