| Aestheticdentalhealthcenter, Ltd. | |
|
536 W Boughton Rd Suite A Bolingbrook IL 60440-5705 | |
| (630) 759-1221 | |
| (630) 759-3711 |
| Full Name | Aestheticdentalhealthcenter, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 536 W Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Phil Moy (PRESIDENT) |
| Authorized Official Contact | 6307591221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aestheticdentalhealthcenter, Ltd. 536 W Boughton Rd Suite A Bolingbrook IL 60440-5705 Ph: (630) 759-1221 | Aestheticdentalhealthcenter, Ltd. 536 W Boughton Rd Suite A Bolingbrook IL 60440-5705 Ph: (630) 759-1221 |
| NPI Number | 1083627368 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083627368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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