| Premier Dental Group Personal Corporation | |
|
300 S West St Wheaton IL 60187-5021 | |
| (630) 665-0650 | |
| (708) 484-0843 |
| Full Name | Premier Dental Group Personal Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 S West St, Wheaton, Illinois |
| Authorized Official Name and Position | Anthony Amodio Brucci (DENTIST/OWNER) |
| Authorized Official Contact | 7083089929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Group Personal Corporation 183 N Addison Ave Apt 216 Elmhurst IL 60126-3195 Ph: () - | Premier Dental Group Personal Corporation 300 S West St Wheaton IL 60187-5021 Ph: (630) 665-0650 |
| NPI Number | 1801583570 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801583570 | NPI | - | NPPES |
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