Organization
PLATINUM DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NAGL (OFFICE MANAGER)
(708) 771-0330
Entity
Organization
Contact information
Practice address
333 CIRCLE AVENUE, FOREST PARK, IL 60130
(708) 771-0330
Mailing address
333 CIRCLE AVE, FOREST PARK, IL 60130-3624
(708) 771-0330
(708) 771-4076
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
019026663
IL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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