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Organization

PLAINFIELD DENTAL PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM THOMAS PECK DDS (OWNER/DENTIST)
(630) 779-3320
Entity
Organization

Contact information

Practice address
15210 S ROUTE 59, PLAINFIELD, IL 60544-2682
(815) 436-3399
Mailing address
15210 S ROUTE 59, PLAINFIELD, IL 60544-2682
(815) 436-3399

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/28/2022
Last updated
12/28/2022
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