Organization
GE KIDDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA TRINH (MANAGING MEMBER)
(402) 659-6054
Entity
Organization
Contact information
Practice address
10 S PARK BLVD, GLEN ELLYN, IL 60137-6211
(402) 659-6054
Mailing address
640 S MONROE ST, HINSDALE, IL 60521-3926
(402) 659-6054
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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