| Fox Pediatric Dentistry PLLC | |
|
400 South Randall Road Suite F And G Elgin IL 60123 | |
| (847) 372-5818 | |
| Not Available |
| Full Name | Fox Pediatric Dentistry PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 400 South Randall Road, Elgin, Illinois |
| Authorized Official Name and Position | Justin J Baik (OWNER DENTIST) |
| Authorized Official Contact | 8473725818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Pediatric Dentistry PLLC 739 W Belmont Ave Apt 416 Chicago IL 60657-4561 Ph: (847) 372-5818 | Fox Pediatric Dentistry PLLC 400 South Randall Road Suite F And G Elgin IL 60123 Ph: (847) 372-5818 |
| NPI Number | 1295462802 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295462802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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