Sonrisa Dental Of Bolingbrook | |
168 N Bolingbrook Dr Bolingbrook IL 60440-2350 | |
(630) 739-7200 | |
(630) 739-7220 |
Full Name | Sonrisa Dental Of Bolingbrook |
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Speciality | Clinic/center - Dental |
Location | 168 N Bolingbrook Dr, Bolingbrook, Illinois |
Authorized Official Name and Position | Jilada B Williams (OWNER) |
Authorized Official Contact | 6307397200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sonrisa Dental Of Bolingbrook Po Box 539 Bolingbrook IL 60440-0144 Ph: (630) 739-7200 | Sonrisa Dental Of Bolingbrook 168 N Bolingbrook Dr Bolingbrook IL 60440-2350 Ph: (630) 739-7200 |
NPI Number | 1548568181 |
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Provider Enumeration Date | 03/07/2011 |
Last Update Date | 03/07/2011 |
Identifier | Type | State | Issuer |
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1548568181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019018715 (Illinois) | Primary |
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