RICHARD C PRENDERGAST

EVANSTON, IL
NPI1225108210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: IL  021000596)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
Dr. RICHARD C PRENDERGAST D.D.S. , M.S.
636 CHURCH ST SUITE 707
EVANSTON, IL 60201-4508
Phone number: 847-491-1880
Mailing Address
Dr. RICHARD C PRENDERGAST D.D.S. , M.S.
636 CHURCH ST SUITE 707
EVANSTON, IL 60201-4508
Phone number: 847-491-1880