Organization · Type 2 NPI
Squaw Grove Dental
Dental Clinic/Center · Hinckley, IL
NPI number
1710143243
Active
Practice location
165 W Lincoln Ave
Hinckley, IL 60520-9207
Fax (815) 286-9249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1710143243
Squaw Grove Dental's National Provider Identifier is 1710143243, issued on Aug 4, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hinckley, IL. The record was last updated on Jul 21, 2022.