Organization
PROCARE DENTAL GROUP, P.C.
Active
Parent organization
PROCARE DENTAL GROUP, P.C.
Other names
LakeSide Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCARE DENTAL GROUP, P.C.
Authorized official
DR. ROBERT G. BRUNETTI D.D.S. (C.E.O.)
(847) 640-1112
Entity
Organization
Contact information
Practice address
820 DAVIS ST, STE 460, EVANSTON, IL 60201-4431
(847) 332-2226
(847) 332-1683
Mailing address
605 E ALGONQUIN RD, STE 300, ARLINGTON HEIGHTS, IL 60005-4373
(847) 640-1112
(847) 640-1107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060-008822
IL
Other
Enumeration date
01/03/2007
Last updated
06/18/2008
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