| Performace Dental Care Il Pc | |
|
9957 S Roberts Rd Palos Hills IL 60465-1646 | |
| (708) 599-8400 | |
| Not Available |
| Full Name | Performace Dental Care Il Pc |
|---|---|
| Speciality | Dentist |
| Location | 9957 S Roberts Rd, Palos Hills, Illinois |
| Authorized Official Name and Position | Kevin Fatland (DENTIST) |
| Authorized Official Contact | 7085998400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performace Dental Care Il Pc 9957 S Roberts Rd Palos Hills IL 60465-1646 Ph: (708) 599-8400 | Performace Dental Care Il Pc 9957 S Roberts Rd Palos Hills IL 60465-1646 Ph: (708) 599-8400 |
| NPI Number | 1003236597 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003236597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19025070 (Illinois) | Primary |
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