| Dentalmax P.c. | |
|
128 W Saint Charles Rd Villa Park IL 60181-2426 | |
| (773) 919-9876 | |
| Not Available |
| Full Name | Dentalmax P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 128 W Saint Charles Rd, Villa Park, Illinois |
| Authorized Official Name and Position | Ernest Opiola (PRESIDENT) |
| Authorized Official Contact | 7739199876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalmax P.c. 128 W Saint Charles Rd Villa Park IL 60181-2426 Ph: () - | Dentalmax P.c. 128 W Saint Charles Rd Villa Park IL 60181-2426 Ph: (773) 919-9876 |
| NPI Number | 1396126546 |
|---|---|
| Provider Enumeration Date | 06/13/2015 |
| Last Update Date | 06/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396126546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019028296 (Illinois) | Primary |
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