Gregory Minor, D.d.s., P.c. | |
1825 E. Roosevelt Rd Wheaton IL 60187-6973 | |
(630) 665-0707 | |
(630) 665-1609 |
Full Name | Gregory Minor, D.d.s., P.c. |
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Speciality | Dentist - General Practice |
Location | 1825 E. Roosevelt Rd, Wheaton, Illinois |
Authorized Official Name and Position | Gregory B Minor (OWNER) |
Authorized Official Contact | 6306650707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gregory Minor, D.d.s., P.c. 1825 E. Roosevelt Rd. Wheaton IL 60187-6973 Ph: (630) 665-0707 | Gregory Minor, D.d.s., P.c. 1825 E. Roosevelt Rd Wheaton IL 60187-6973 Ph: (630) 665-0707 |
NPI Number | 1295983799 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295983799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019018112 (Illinois) | Primary |
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