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Riverside Dental Investments Llc
Clinic/Center in Poplar Grove, Illinois
NPI 1386217164

Riverside Dental Investments Llc is a Clinic/Center based in Poplar Grove, IL. Riverside Dental Investments Llc practices in Poplar Grove, IL. The NPI Number for Riverside Dental Investments Llc is 1386217164 and holds a License No. (Illinois).

The current practice location address for Riverside Dental Investments Llc is 13510 Julie Dr, Poplar Grove, IL and can be reached out via phone at 815-765-9900 and via fax at 815-765-9901.

Location: 13510 Julie Dr, Poplar Grove, IL, 61065-7829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386217164
Provider Name
Riverside Dental Investments Llc
Credential
Provider Entity Type
Organization
Address
13510 Julie Dr, Poplar Grove, IL, 61065-7829
Phone Number
815-765-9900
Fax Number
815-765-9901
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134353014 01 IL INDIVIDUAL NPI
1356461255 01 IL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
13510 Julie Dr
City
Poplar Grove
State
Illinois
Zip
61065-7829
Phone Number
815-765-9900
Fax Number
815-765-9901
person
Provider Business Mailing Address Details
Address
13510 Julie Dr
City
Poplar Grove
State
Illinois
Zip
61065-7829
Phone Number
815-765-9900
Fax Number
815-765-9901
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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