|
| |
|
1620 Pebblewood Ln Naperville IL 60563-9075 | |
| (331) 457-2259 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1620 Pebblewood Ln, Naperville, Illinois |
| Authorized Official Name and Position | Ramya R Joshua (PRESIDENT/OWNER) |
| Authorized Official Contact | 3314572259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
963 Campbell Dr Naperville IL 60563-1985 Ph: (331) 457-2259 | 1620 Pebblewood Ln Naperville IL 60563-9075 Ph: (331) 457-2259 |
| NPI Number | 1306322920 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306322920 | NPI | - | NPPES |
| 1417307430 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019030738 (Illinois) | Primary |
Ogden Valley Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 W Ogden Ave, Naperville, IL 60563 Phone: 630-305-6161 Fax: 630-701-1966 | |
Naperville Dental Associates, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Hobson Rd, Suite 240, Naperville, IL 60540 Phone: 630-369-0101 Fax: 630-369-1586 | |
C & N Grathwol Dmd P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 E Ogden Ave, Naperville, IL 60563 Phone: 630-778-9500 | |
Ashbury Dental Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2272 W 95th St, Suite 315, Naperville, IL 60564 Phone: 630-717-0111 |