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Organization
PLAINFIELD FAMILY DENTAL CENTER
Active
Organization
PLAINFIELD FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J. PULLARA JR. D.D.S. (OWNER)
(815) 436-1000
Entity
Organization
Contact information
Practice address
24204 W LOCKPORT ST, PLAINFIELD, IL 60544-2902
(815) 436-1000
(815) 436-1464
Mailing address
24204 W LOCKPORT ST, PLAINFIELD, IL 60544-2902
(815) 436-1000
(815) 436-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021493
IL
Other
Enumeration date
05/14/2007
Last updated
02/20/2012
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