| Diehl Family Dental | |
|
1620 Pebblewood Ln Naperville IL 60563-9075 | |
| (331) 457-2259 | |
| Not Available |
| Full Name | Diehl Family Dental |
|---|---|
| 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 |
|---|---|
| Diehl Family Dental 963 Campbell Dr Naperville IL 60563-1985 Ph: (331) 457-2259 | Diehl Family Dental 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 |
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