Oswego Dental Group, Llc | |
4771 Route 71 Oswego IL 60543-7415 | |
(630) 554-8600 | |
Not Available |
Full Name | Oswego Dental Group, Llc |
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Speciality | Dentist - General Practice |
Location | 4771 Route 71, Oswego, Illinois |
Authorized Official Name and Position | Kristen Dixon (BUSINESS MANAGER) |
Authorized Official Contact | 6305548600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oswego Dental Group, Llc 4771 Route 71 Oswego IL 60543-7415 Ph: (630) 554-8600 | Oswego Dental Group, Llc 4771 Route 71 Oswego IL 60543-7415 Ph: (630) 554-8600 |
NPI Number | 1174181770 |
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Provider Enumeration Date | 05/30/2019 |
Last Update Date | 05/30/2019 |
Identifier | Type | State | Issuer |
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1174181770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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