Organization
PETER A DRAHOS DDS PC
Active
Other names
PG Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ANDREW DRAHOS DDS (DENTIST - PRESIDENT)
(773) 516-1262
Entity
Organization
Contact information
Practice address
9118 OGDEN AVE UNIT B, BROOKFIELD, IL 60513-1974
(773) 516-1262
Mailing address
9118 OGDEN AVE UNIT B, BROOKFIELD, IL 60513-1974
(773) 516-1262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027907
IL
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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