Organization
GODUCO FAMILY DENTISTRY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP V GODUCO DDS, MAGD (DENTAL PHYSICIAN)
(847) 816-0463
Entity
Organization
Contact information
Practice address
281 EVERGREEN DR, VERNON HILLS, IL 60061-2905
(847) 816-0463
(847) 816-0468
Mailing address
281 EVERGREEN DR, VERNON HILLS, IL 60061-2905
(847) 816-0463
(847) 816-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
04/16/2024
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