Vernon Hills Dental Center PLLC
Clinic/Center, Dental in Vernon Hills, IL. Organization (NPI-2).
NPI number1194470740
StatusActive
Last updated in NPPESFeb 12, 2022
Details
- NPI
- 1194470740
- Entity type
- Organization (NPI-2)
- Legal business name
- Vernon Hills Dental Center PLLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2022
- Certification date
- Feb 12, 2022
- Last updated
- Feb 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
300 Center Dr Ste 106Vernon Hills, IL 60061-1525
Phone 847-247-4444
Mailing address
300 Center Dr Ste 106Vernon Hills, IL 60061-1525
Authorized official
Michael Parker
Dentist
8472474444
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