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Mallard Dental Inc
Pediatric Dentist in Addison, Illinois
NPI 1467437756

Mallard Dental Inc is a Pediatric Dentist based in Addison, IL and is specialized in Pediatric Dentistry. Mallard Dental Inc practices in Addison, IL. The NPI Number for Mallard Dental Inc is 1467437756 and holds a License No. (Illinois).

The current practice location address for Mallard Dental Inc is 33 S Addison Rd, Addison, IL and can be reached out via phone at 630-834-4343 and via fax at 630-834-6308.

Location: 33 S Addison Rd, Addison, IL, 60101-3868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467437756
Provider Name
Mallard Dental Inc
Credential
Provider Entity Type
Organization
Address
33 S Addison Rd, Addison, IL, 60101-3868
Phone Number
630-834-4343
Fax Number
630-834-6308
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103045 05 IL
1001079 05 IL
institution
Provider Business Practice Location Address Details
Address
33 S Addison Rd
City
Addison
State
Illinois
Zip
60101-3868
Phone Number
630-834-4343
Fax Number
630-834-6308
person
Provider Business Mailing Address Details
Address
33 S Addison Rd
City
Addison
State
Illinois
Zip
60101-3868
Phone Number
630-834-4343
Fax Number
630-834-6308
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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