Organization
PLAINFIELD PEDIATRIC DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD FERDKOFF D.D.S. (OWNER)
(847) 877-6858
Entity
Organization
Contact information
Practice address
13621 S. RT 59, UNIT 101, PLAINFIELD, IL 60544
(815) 439-2400
Mailing address
13621 S. RT 59, UNIT 101, PLAINFIELD, IL 60544
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019024754
IL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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