Organization · Type 2 NPI

My Geriatric Dentist

General Practice Dentistry · Des Plaines, IL

NPI number 1366064594 Active

About NPI 1366064594

My Geriatric Dentist's National Provider Identifier is 1366064594, issued on May 11, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Des Plaines, IL. The record was last updated on May 11, 2020.