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Organization

PARK RIDGE PERIODONTICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES FRANK DIFRANCO DDS, MS (PRESIDENT)
(847) 318-0066
Entity
Organization

Contact information

Practice address
511 W TALCOTT RD, PARK RIDGE, IL 60068-5338
(847) 318-0066
(847) 318-9574
Mailing address
511 W TALCOTT RD, PARK RIDGE, IL 60068-5338
(847) 318-0066
(847) 318-9574

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021.001183
IL

Other

Enumeration date
01/04/2013
Last updated
01/04/2013
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