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4326 Prince St Downers Grove IL 60515-2875 | |
| (630) 964-0115 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4326 Prince St, Downers Grove, Illinois |
| Authorized Official Name and Position | Corina Radu (OWNER DOCTOR) |
| Authorized Official Contact | 6309640115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4326 Prince St Downers Grove IL 60515-2875 Ph: (630) 964-0115 | 4326 Prince St Downers Grove IL 60515-2875 Ph: (630) 964-0115 |
| NPI Number | 1790286169 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790286169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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