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Organization

DENTAL ASSOCIATES OF PLAINFIELD P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDALL J. HODOVAL D.D.S. (PRESIDENT)
(815) 436-4900
Entity
Organization

Contact information

Practice address
14955 S VAN DYKE RD, UNIT100, PLAINFIELD, IL 60544-5804
(815) 436-4900
(815) 436-6139
Mailing address
14955 S VAN DYKE RD, UNIT100, PLAINFIELD, IL 60544-5804
(815) 436-4900
(815) 436-6139

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1917621
IL

Other

Enumeration date
11/15/2006
Last updated
05/05/2010
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