| Aurora Dental Group | |
|
1352 W Galena Blvd Aurora IL 60506 | |
| (630) 896-7354 | |
| (630) 896-7480 |
| Full Name | Aurora Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1352 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | Richard Allen Green (PRESIDENT) |
| Authorized Official Contact | 6308967354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Dental Group 1352 W Galena Blvd Aurora IL 60506 Ph: (630) 896-7354 | Aurora Dental Group 1352 W Galena Blvd Aurora IL 60506 Ph: (630) 896-7354 |
| NPI Number | 1568682698 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568682698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018634 (Illinois) | Primary |
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