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Organization
VALLEY DENTAL CARE OF PLAINFIELD
Active
Organization
VALLEY DENTAL CARE OF PLAINFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA KOTHAPALLI DMD (OWNER)
(630) 803-6431
Entity
Organization
Contact information
Practice address
2356 S ROUTE 59, PLAINFIELD, IL 60586-7756
(630) 436-6800
Mailing address
3405 ORCHARD RD, OSWEGO, IL 60543-5005
(630) 551-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026612
IL
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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