Organization
CENTENNIAL DENTAL GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC YOUNG DDS (DENTIST)
(954) 536-4810
Entity
Organization
Contact information
Practice address
2746 W FULLERTON AVE, CHICAGO, IL 60647-3059
(954) 536-4810
Mailing address
19524 MAGGIES WAY, MOKENA, IL 60448-8353
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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