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Organization
PLAINFIELD DENTAL CARE P.C.
Active
Organization
PLAINFIELD DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD FERDKOFF D.D.S. (OWNER)
(815) 439-2400
Entity
Organization
Contact information
Practice address
13400 S ROUTE 59 STE Q, PLAINFIELD, IL 60585-5839
(815) 439-2400
(815) 439-1837
Mailing address
13400 S ROUTE 59 STE Q, PLAINFIELD, IL 60585-5839
(815) 439-2400
(815) 439-1837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
1223G0001X
General Practice Dentistry
—
KS
1223G0001X
General Practice Dentistry
—
MA
1223G0001X
General Practice Dentistry
—
NY
1223P0300X
Periodontics
—
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
IL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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