| Maple Park Dental Care, P.c. | |
|
1048 104th Street #108 Naperville IL 60464 | |
| (630) 904-7100 | |
| (630) 904-7111 |
| Full Name | Maple Park Dental Care, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1048 104th Street, Naperville, Illinois |
| Authorized Official Name and Position | Julie Marie Romanelli (PRESIDENT) |
| Authorized Official Contact | 6309047100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Park Dental Care, P.c. 1048 104th Street #108 Naperville IL 60464 Ph: (630) 904-7100 | Maple Park Dental Care, P.c. 1048 104th Street #108 Naperville IL 60464 Ph: (630) 904-7100 |
| NPI Number | 1487714671 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487714671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060008694 (Illinois) | Primary |
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