Organization
PRODENTALCARE
Active
Other names
prodentalcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK BRAR D.D.S (OWNER)
(630) 883-0200
Entity
Organization
Contact information
Practice address
300 RANDALL RD, SOUTH ELGIN, IL 60177-2261
(630) 883-0200
Mailing address
300 RANDALL RD, SOUTH ELGIN, IL 60177-2261
(630) 883-0200
(847) 961-4661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021499
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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