Organization · Type 2 NPI
Dental Club St. Charles P.c.
Dental Clinic/Center · St. Charles, IL
NPI number
1720713993
Active
Practice location
3381 W Main St Ste 3
St. Charles, IL 60175-1008
Mailing address
11310 Poplar Creek Ln
Orland Park, IL 60467-7308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in St. Charles
About NPI 1720713993
Dental Club St. Charles P.c.'s National Provider Identifier is 1720713993, issued on Jul 20, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Charles, IL. The record was last updated on Jul 20, 2022.