Revere Dental
Revere Dental is a Dental Clinic/Center in Bourbonnais, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
588 William Latham Dr Ste 2Bourbonnais, IL 60914-2340
Phone: (815) 933-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1790479210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Girgis — Dentist · (815) 933-6100 |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 6, 2023 |
| Mailing address | 588 William Latham Dr Ste 2, Bourbonnais, IL 60914-2340 |
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Beck Dental PLLC
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