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Organization
PARK RIDGE DENTISTRY PLLC
Active
Organization
PARK RIDGE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STITES (INSURANCE COORDINATOR)
(773) 610-2903
Entity
Organization
Contact information
Practice address
35 1/2 S PROSPECT AVE, PARK RIDGE, IL 60068-4101
(847) 692-7350
Mailing address
1699 E WOODFIELD RD STE 102, SCHAUMBURG, IL 60173-4955
(630) 869-5857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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