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Organization
PERFORMANCE DENTAL CARE
Active
Organization
PERFORMANCE DENTAL CARE
Active
Other names
7-7 Dental of Flossmoor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA BAFIA (BUSINESS MANAGER)
(708) 599-8400
Entity
Organization
Contact information
Practice address
19509 GOVERNORS HWY, FLOSSMOOR, IL 60422-2097
(708) 798-8787
Mailing address
19509 GOVERNORS HWY, FLOSSMOOR, IL 60422-2097
(708) 798-8787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
11/18/2008
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