Russell G. Tripp. D.d.s. Llc | |
28w530 Batavia Rd P.o. 291 Warrenville IL 60555-3022 | |
(630) 393-4600 | |
(630) 393-4690 |
Full Name | Russell G. Tripp. D.d.s. Llc |
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Speciality | Dentist - General Practice |
Location | 28w530 Batavia Rd, Warrenville, Illinois |
Authorized Official Name and Position | Russell G. Tripp (MEMBER) |
Authorized Official Contact | 6303934600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell G. Tripp. D.d.s. Llc 28w530 Batavia Rd P.o. 291 Warrenville IL 60555-3022 Ph: (630) 393-4600 | Russell G. Tripp. D.d.s. Llc 28w530 Batavia Rd P.o. 291 Warrenville IL 60555-3022 Ph: (630) 393-4600 |
NPI Number | 1891063228 |
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Provider Enumeration Date | 12/13/2011 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
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1891063228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019017749 (Illinois) | Primary |
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