| Orchard Valley Dental, P.c. | |
|
2418 W Indian Trl Suite E Aurora IL 60506-1589 | |
| (630) 907-2180 | |
| Not Available |
| Full Name | Orchard Valley Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2418 W Indian Trl, Aurora, Illinois |
| Authorized Official Name and Position | Thomas J Guzzardi (OWNER) |
| Authorized Official Contact | 6309072180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Valley Dental, P.c. 2418 W Indian Trl Suite E Aurora IL 60506-1589 Ph: (630) 907-2180 | Orchard Valley Dental, P.c. 2418 W Indian Trl Suite E Aurora IL 60506-1589 Ph: (630) 907-2180 |
| NPI Number | 1306104062 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306104062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019017197 (Illinois) | Primary |
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