My Geriatric Dentist
My Geriatric Dentist is a General Practice Dentistry in Des Plaines, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2093 Rand RdDes Plaines, IL 60016-4727
Phone: (847) 590-1880
Fax: (708) 590-0868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1366064594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Blumofe — Dentist · (847) 590-1880 |
| NPI enumerated | May 11, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certification date | May 11, 2020 |
| Mailing address | 2093 Rand Rd, Des Plaines, IL 60016-4727 |
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