Organization
PROCARE DENTAL GROUP, P.C.
Active
Parent organization
PROCARE DENTAL GROUP, P.C.
Other names
Rivernorth Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCARE DENTAL GROUP, P.C.
Authorized official
DR. ROBERT G BRUNETTI DDS (CEO)
(847) 640-1112
Entity
Organization
Contact information
Practice address
434 WEST ONTARIO STREET, STE 300, CHICAGO, IL 60654
(847) 640-1112
(847) 640-1107
Mailing address
434 W ONTARIO ST, STE 300, CHICAGO, IL 60654
(312) 475-9751
(312) 475-9754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060-008822
IL
Other
Enumeration date
02/05/2008
Last updated
08/27/2013
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