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2001 Butterfield Rd Ste 240 Downers Grove IL 60515-1211 | |
(630) 504-2223 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2001 Butterfield Rd Ste 240, Downers Grove, Illinois |
Authorized Official Name and Position | Miranda Albert (OWNER) |
Authorized Official Contact | 6305042223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2001 Butterfield Rd Ste 240 Downers Grove IL 60515-1211 Ph: (630) 504-2223 | 2001 Butterfield Rd Ste 240 Downers Grove IL 60515-1211 Ph: (630) 504-2223 |
NPI Number | 1487498101 |
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Provider Enumeration Date | 06/19/2024 |
Last Update Date | 06/19/2024 |
Identifier | Type | State | Issuer |
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1487498101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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