Organization · NPI-2

.College Drive Dental Associates, Ltd

Dentist, General Practice · Palos Heights, IL

NPI number1013982933
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1013982933
Entity type
Organization (NPI-2)
Legal business name
.College Drive Dental Associates, Ltd
Organization subpart
No
Enumeration date
Feb 22, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

7550 W College Dr
Palos Heights, IL 60463-1026

Phone 708-361-4626

Mailing address

7550 W College Dr
Palos Heights, IL 60463-1026

Phone 708-361-4626

Authorized official

Joseph W Uhrich
Secretary
7083614626

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