| Fox River Dental | |
|
2968 Route 34 Oswego IL 60543 | |
| (630) 554-9909 | |
| (630) 554-9909 |
| Full Name | Fox River Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2968 Route 34, Oswego, Illinois |
| Authorized Official Name and Position | Subbashini Marimuthu (PRESIDENT) |
| Authorized Official Contact | 6305549900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox River Dental 2968 Route 34 Oswego IL 60543 Ph: (630) 554-9909 | Fox River Dental 2968 Route 34 Oswego IL 60543 Ph: (630) 554-9909 |
| NPI Number | 1194976209 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194976209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026849 (Illinois) | Primary |
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