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West Side Family Dentistry, Ltd
General Practice Dentistry in Mendota, Illinois
NPI 1245617570

West Side Family Dentistry, Ltd is a General Practice Dentistry based in Mendota, IL and is specialized in General Practice. West Side Family Dentistry, Ltd practices in Mendota, IL. The NPI Number for West Side Family Dentistry, Ltd is 1245617570 and holds a License No. 019-025531 (Illinois).

The current practice location address for West Side Family Dentistry, Ltd is 709 Plaza Dr, Mendota, IL and can be reached out via phone at 815-539-7004 and via fax at 815-539-7060.

Location: 709 Plaza Dr, Mendota, IL, 61342-2457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245617570
Provider Name
West Side Family Dentistry, Ltd
Credential
Provider Entity Type
Organization
Address
709 Plaza Dr, Mendota, IL, 61342-2457
Phone Number
815-539-7004
Fax Number
815-539-7060
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
709 Plaza Dr
City
Mendota
State
Illinois
Zip
61342-2457
Phone Number
815-539-7004
Fax Number
815-539-7060
person
Provider Business Mailing Address Details
Address
709 Plaza Dr
City
Mendota
State
Illinois
Zip
61342-2457
Phone Number
815-539-7004
Fax Number
815-539-7060
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-025531 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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