Dental Roots Pc

NPI 1164836912 - Dentist - 122300000X

NPI Details
NPI 1164836912
Enumeration Date 06/19/2014
Last Updated 06/19/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID DAVID
Position PRESIDENT
Phone (630) 369-8700
Fax (630) 948-3449
Practice Location
4015 PLAINFIELD NAPERVILLE RD
SUITE 106
NAPERVILLE IL, 60564-4238, US
Phone (630) 369-8700
Fax (630) 948-3449
Business Location
4015 PLAINFIELD NAPERVILLE RD
SUITE 106
NAPERVILLE IL, 60564-4238, US
Phone (630) 369-8700
Fax (630) 948-3449
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019016447
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According to our database, Dental Roots Pc NPI is 1164836912, taxonomy code is 122300000X and license number is 019016447, license state is located at Illinois. Dental Roots Pc physically located at 4015 Plainfield Naperville Rd, Naperville IL, 60564-4238. NPI Number 1033115704 has the healthcare provider type.

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1164836912 NPI number is provided on an as is basis without warranty of any kind. 1164836912 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Roots Pc are for informational purposes only.