Bryan A Weyneth Dds Pc | |
1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 | |
(630) 369-5225 | |
(630) 369-7416 |
Full Name | Bryan A Weyneth Dds Pc |
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Speciality | Dentist |
Location | 1100 Sherman Ave Ste 1031100, Naperville, Illinois |
Authorized Official Name and Position | Dorothy Hernandez (CREDENTIALING AGENT CONTRACT LABOR) |
Authorized Official Contact | 9287794404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bryan A Weyneth Dds Pc 1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 Ph: (630) 369-5225 | Bryan A Weyneth Dds Pc 1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 Ph: (630) 369-5225 |
NPI Number | 1972146470 |
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Provider Enumeration Date | 10/28/2019 |
Last Update Date | 10/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972146470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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