De La Fuente, Dmd P.c. | |
1985 N Gary Ave Wheaton IL 60187-3056 | |
(630) 724-7765 | |
Not Available |
Full Name | De La Fuente, Dmd P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1985 N Gary Ave, Wheaton, Illinois |
Authorized Official Name and Position | Isidro De La Fuente (BUSINESS MANAGER) |
Authorized Official Contact | 6307247765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
De La Fuente, Dmd P.c. 125 Forestview Dr Elgin IL 60120-7401 Ph: (630) 724-7765 | De La Fuente, Dmd P.c. 1985 N Gary Ave Wheaton IL 60187-3056 Ph: (630) 724-7765 |
NPI Number | 1982370334 |
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Provider Enumeration Date | 08/17/2021 |
Last Update Date | 08/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982370334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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