Organization
RIVERVIEW DENTAL CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNA T THAKKAR DDS (PRESIDENT)
(847) 530-9675
Entity
Organization
Contact information
Practice address
451 DUNHAM RD, SAINT CHARLES, IL 60174-1431
(847) 530-9675
Mailing address
451 DUNHAM RD, SAINT CHARLES, IL 60174-1431
(847) 530-9675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025372
IL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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