Organization
PRIDE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFANA ILYAS DMD (DENTIST)
(610) 906-0335
Entity
Organization
Contact information
Practice address
105 E DEKALB ST, SOMONAUK, IL 60552-9116
(815) 498-3609
Mailing address
1735 CHADWICKE CIR, NAPERVILLE, IL 60540-0398
(610) 906-0335
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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