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Organization
RIVERSIDE DENTAL CENTER GPS PLLC
Active
Organization
RIVERSIDE DENTAL CENTER GPS PLLC
Active
Other names
Riverside Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIMKE (OWNER)
(815) 877-4300
Entity
Organization
Contact information
Practice address
2028 E RIVERSIDE BLVD STE 210, LOVES PARK, IL 61111-4800
(815) 877-4300
Mailing address
2028 E RIVERSIDE BLVD STE 210, LOVES PARK, IL 61111-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
04/14/2026
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