Individual
DR. RICHARD C PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. , M.S.
Contact information
Practice address
636 CHURCH ST, SUITE 707, EVANSTON, IL 60201-4508
(847) 491-1880
(847) 491-1895
Mailing address
636 CHURCH ST, SUITE 707, EVANSTON, IL 60201-4508
(847) 491-1880
(847) 491-1895
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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