Naperville Orthodontic Associates, P.c. | |
25w380 Chicago Ave Naperville IL 60540-5806 | |
(630) 995-3547 | |
(630) 995-3547 |
Full Name | Naperville Orthodontic Associates, P.c. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 25w380 Chicago Ave, Naperville, Illinois |
Authorized Official Name and Position | Douglas R Prince (OWNER) |
Authorized Official Contact | 6309953547 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Naperville Orthodontic Associates, P.c. 25w380 Chicago Ave Naperville IL 60540-5806 Ph: (630) 995-3547 | Naperville Orthodontic Associates, P.c. 25w380 Chicago Ave Naperville IL 60540-5806 Ph: (630) 995-3547 |
NPI Number | 1821366915 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
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1821366915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021-000784 (Illinois) | Primary |
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