Organization
ELDRIDGE&ELDRIDGE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L ELDRIDGE D.D.S. (SECRETARY-TREASURER)
(708) 206-1277
Entity
Organization
Contact information
Practice address
1944 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 206-1277
(708) 206-1351
Mailing address
1944 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 206-1277
(708) 206-1351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018962
IL
Other
Enumeration date
03/14/2007
Last updated
11/20/2014
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