| Northwest Naperville Dental Clinic | |
|
1620 Pebblewood Ln Suite 152 Naperville IL 60563-9075 | |
| (630) 717-7055 | |
| (630) 717-7885 |
| Full Name | Northwest Naperville Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1620 Pebblewood Ln, Naperville, Illinois |
| Authorized Official Name and Position | Yong Taek Shim (PRESIDENT) |
| Authorized Official Contact | 6307177055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Naperville Dental Clinic 1620 Pebblewood Ln Suite 152 Naperville IL 60563-9075 Ph: (630) 717-7055 | Northwest Naperville Dental Clinic 1620 Pebblewood Ln Suite 152 Naperville IL 60563-9075 Ph: (630) 717-7055 |
| NPI Number | 1265606925 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265606925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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