Dental Associates of South Ridge, PC
Dental Associates of South Ridge, PC is a Dentist in Gurnee, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6121 Washington St #202Gurnee, IL 60031-5305
Phone: (847) 625-9897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019028057 (IL) |
|---|
Record details
| NPI number | 1396292884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Priyadarshini Boinpally — President · (847) 625-9897 |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 483 Evergreen Dr, Vernon Hills, IL 60061-2907 |
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