AVID DENTAL PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1083802524- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 115 REPUBLIC AVE, JOLIET, IL, 604356515
- Phone
- (815) 483-2040
- Fax
- (815) 483-2071
Specialties & Taxonomies
Dentist, General Practice
Primary License: IL #19016647