| Brent A Ito Dmd Ms Pc | |
|
7350 Janes Ave Woodridge IL 60517-2339 | |
| (630) 769-0707 | |
| Not Available |
| Full Name | Brent A Ito Dmd Ms Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7350 Janes Ave, Woodridge, Illinois |
| Authorized Official Name and Position | Brent A. Ito (PRESIDENT) |
| Authorized Official Contact | 6307690707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent A Ito Dmd Ms Pc 7350 Janes Ave Woodridge IL 60517-2339 Ph: (630) 769-0707 | Brent A Ito Dmd Ms Pc 7350 Janes Ave Woodridge IL 60517-2339 Ph: (630) 769-0707 |
| NPI Number | 1467221010 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467221010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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