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General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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GATES DENTAL CARE PC

Surgery Yellow Pages

Villa Park, Illinois

Provider NPI: 1962449850

Organization Information:
Organization Name:  GATES DENTAL CARE PC


Practice Location:
302 E SAINT CHARLES RD  VILLA PARK, IL 60181 US
Tel: 630-836-4410  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
IL019014756

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD OF ILLINOIS33060IL01
019014756IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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