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Organization

MD YORKVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC MITRA DDS (MEMBER)
(630) 553-2505
Entity
Organization

Contact information

Practice address
728 E. VETERANS PARKWAY, SUITE 113, YORKVILLE, IL 60560
(630) 553-2505
Mailing address
728 E. VETERANS PARKWAY, SUITE 113, YORKVILLE, IL 60560
(630) 553-2505

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027319
IL

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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