| Pride Dental Llc | |
|
105 E Dekalb St Somonauk IL 60552-9116 | |
| (815) 498-3609 | |
| Not Available |
| Full Name | Pride Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 E Dekalb St, Somonauk, Illinois |
| Authorized Official Name and Position | Irfana Ilyas (DENTIST) |
| Authorized Official Contact | 6109060335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Dental Llc 1735 Chadwicke Cir Naperville IL 60540-0398 Ph: (610) 906-0335 | Pride Dental Llc 105 E Dekalb St Somonauk IL 60552-9116 Ph: (815) 498-3609 |
| NPI Number | 1750915690 |
|---|---|
| Provider Enumeration Date | 03/01/2020 |
| Last Update Date | 03/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750915690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |