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Organization
PRIME DENTAL ASSOCIATES PC
Active
Organization
PRIME DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTORIYA KUSHNIR DMD (OWNER)
(815) 385-4140
Entity
Organization
Contact information
Practice address
2301 W. JOHNSBURG RD, JOHNSBURG, IL 60051
(815) 385-4140
(815) 331-0241
Mailing address
2301 W. JOHNSBURG RD, JOHNSBURG, IL 60051
(815) 385-4140
(815) 331-0241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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