| Renew Orthodontics | |
|
2335 Sycamore Rd Dekalb IL 60115-2007 | |
| (815) 756-5200 | |
| (815) 756-5567 |
| Full Name | Renew Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2335 Sycamore Rd, Dekalb, Illinois |
| Authorized Official Name and Position | Daryl Ashbeck (ORTHODONTIST) |
| Authorized Official Contact | 8157565200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Orthodontics 2335 Sycamore Rd Dekalb IL 60115-2007 Ph: (815) 756-5200 | Renew Orthodontics 2335 Sycamore Rd Dekalb IL 60115-2007 Ph: (815) 756-5200 |
| NPI Number | 1679806194 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679806194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019024635 (Illinois) | Primary |
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