| River Grove Dental Associates Llc | |
|
8225 Grand Ave River Grove IL 60171-1517 | |
| (708) 453-1110 | |
| Not Available |
| Full Name | River Grove Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8225 Grand Ave, River Grove, Illinois |
| Authorized Official Name and Position | Frank Siracusa (MEMBER/ OWNER) |
| Authorized Official Contact | 7084531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Grove Dental Associates Llc 8225 Grand Ave River Grove IL 60171-1517 Ph: (708) 453-1110 | River Grove Dental Associates Llc 8225 Grand Ave River Grove IL 60171-1517 Ph: (708) 453-1110 |
| NPI Number | 1093027658 |
|---|---|
| Provider Enumeration Date | 07/11/2010 |
| Last Update Date | 07/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093027658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021920 (Illinois) | Primary |
John A. Marsala D.d.s. ; Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8225 Grand Ave, River Grove, IL 60171 Phone: 630-310-4897 | |
Lawrence T Jacobs Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8235 Grand Ave, River Grove, IL 60171 Phone: 708-453-0250 | |
Thtacher Woods Associates Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 Phone: 708-453-1110 Fax: 708-452-0157 |