| Orland Square Dental | |
|
62 Orland Square Dr Ste 104 Orland Park IL 60462-6558 | |
| (708) 460-7440 | |
| Not Available |
| Full Name | Orland Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 62 Orland Square Dr Ste 104, Orland Park, Illinois |
| Authorized Official Name and Position | Gadia Peabody (GENERAL DENTIST) |
| Authorized Official Contact | 7084607440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orland Square Dental 62 Orland Square Dr Ste 104 Orland Park IL 60462-6558 Ph: () - | Orland Square Dental 62 Orland Square Dr Ste 104 Orland Park IL 60462-6558 Ph: (708) 460-7440 |
| NPI Number | 1306172804 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306172804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-026130 (Illinois) | Primary |
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