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1116 Dickens Ave Naperville IL 60563-4301 | |
(630) 740-7138 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1116 Dickens Ave, Naperville, Illinois |
Authorized Official Name and Position | Belsam Renee Kashlan (PRESIDENT) |
Authorized Official Contact | 6304271800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2861 83rd St Darien IL 60561-5612 Ph: (630) 427-1800 | 1116 Dickens Ave Naperville IL 60563-4301 Ph: (630) 740-7138 |
NPI Number | 1932384914 |
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Provider Enumeration Date | 01/08/2008 |
Last Update Date | 01/08/2008 |
Identifier | Type | State | Issuer |
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1932384914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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