REVERE DENTAL

BOURBONNAIS, IL
NPI1790479210
Entity TypeOrganization
Authorized ContactPETER GIRGIS
Dentist
815-933-6100
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-06-07
Last Update Date2023-06-07
Business Address
REVERE DENTAL
588 WILLIAM LATHAM DR STE 2
BOURBONNAIS, IL 60914-2340
Phone number: 815-933-6100
Mailing Address
REVERE DENTAL
588 WILLIAM LATHAM DR STE 2
BOURBONNAIS, IL 60914-2340
Phone number:
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