Oswego East Dental Associates

NPI 1275847204 - Dentist - 1223G0001X

NPI Details
NPI 1275847204
Enumeration Date 08/02/2010
Last Updated 08/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name PHUOC THANH PHUOC
Position DENTIST
Phone (630) 554-5858
Fax
Practice Location
1768 DOUGLAS RD
OSWEGO IL, 60543, US
Phone (630) 554-5858
Fax
Business Location
1768 DOUGLAS ROAD
OSWEGO IL, 60543, US
Phone (630) 554-5858
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019025958
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According to our database, Oswego East Dental Associates NPI is 1275847204, taxonomy code is 1223G0001X and license number is 019025958, license state is located at Illinois. Oswego East Dental Associates physically located at 1768 Douglas Rd, Oswego IL, 60543. NPI Number 1033115704 has the healthcare provider type.

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1275847204 NPI number is provided on an as is basis without warranty of any kind. 1275847204 is maintained by the National Plan & Provider Enumeration System. The contents of Oswego East Dental Associates are for informational purposes only.