| Bespoke Dental Co. | |
|
804 S 3rd St Saint Charles IL 60174-4053 | |
| (630) 377-1200 | |
| Not Available |
| Full Name | Bespoke Dental Co. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 804 S 3rd St, Saint Charles, Illinois |
| Authorized Official Name and Position | Joseph Wolski (PRESDIDENT) |
| Authorized Official Contact | 6303771200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Dental Co. 804 S 3rd St Saint Charles IL 60174-4053 Ph: (630) 377-1200 | Bespoke Dental Co. 804 S 3rd St Saint Charles IL 60174-4053 Ph: (630) 377-1200 |
| NPI Number | 1265980353 |
|---|---|
| Provider Enumeration Date | 09/17/2016 |
| Last Update Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265980353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019030169 (Illinois) | Primary |
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