Glen Ellyn Family Dental Care

NPI 1487731808 - Dentist - 122300000X

NPI Details
NPI 1487731808
Enumeration Date 11/01/2006
Last Updated 02/15/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBBIE A DEBBIE
Position OFFICE MANAGER
Phone (630) 858-0216
Fax (630) 858-0022
Practice Location
658 ROOSEVELT RD
GLEN ELLYN IL, 60137, US
Phone (630) 858-0216
Fax (630) 858-0022
Business Location
658 ROOSEVELT RD
GLEN ELLYN IL, 60137, US
Phone (630) 858-0216
Fax (630) 858-0022
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019023247
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According to our database, Glen Ellyn Family Dental Care NPI is 1487731808, taxonomy code is 122300000X and license number is 019023247, license state is located at Illinois. Glen Ellyn Family Dental Care physically located at 658 Roosevelt Rd, Glen Ellyn IL, 60137. NPI Number 1033115704 has the healthcare provider type.

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1487731808 NPI number is provided on an as is basis without warranty of any kind. 1487731808 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Ellyn Family Dental Care are for informational purposes only.