| Frontier Place Family Dental | |
|
3360 Lacrosse Ln Suite #100 Naperville IL 60564-8136 | |
| (630) 369-4477 | |
| (630) 369-4422 |
| Full Name | Frontier Place Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3360 Lacrosse Ln, Naperville, Illinois |
| Authorized Official Name and Position | John F. Jimenez (PRESIDENT/OWNER) |
| Authorized Official Contact | 6303694477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Place Family Dental 3360 Lacrosse Ln Suite #100 Naperville IL 60564-8136 Ph: (630) 369-4477 | Frontier Place Family Dental 3360 Lacrosse Ln Suite #100 Naperville IL 60564-8136 Ph: (630) 369-4477 |
| NPI Number | 1043486970 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043486970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026022 (Illinois) | Primary |
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