PRAIRIE DENTAL OF OAK PARK LLC

OAK PARK, IL
NPI1831742733
Entity TypeOrganization
Authorized ContactOSCAR G GONZALEZ
Director Of Operations
219-465-8627
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2019-07-19
Last Update Date2019-07-19
Business Address
PRAIRIE DENTAL OF OAK PARK LLC
1010 LAKE ST
OAK PARK, IL 60301-1147
Phone number: 219-465-8627
Mailing Address
PRAIRIE DENTAL OF OAK PARK LLC
1010 LAKE ST
OAK PARK, IL 60301-1147
Phone number: 219-465-8627
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