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2959 Artesian Rd Suite 127 Naperville IL 60564-8547 | |
| (630) 809-6678 | |
| (630) 922-9190 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2959 Artesian Rd, Naperville, Illinois |
| Authorized Official Name and Position | Maggie Roeder (OFFICE MANAGER) |
| Authorized Official Contact | 6309220600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2959 Artesian Rd Suite 127 Naperville IL 60564-8547 Ph: (630) 809-6678 | 2959 Artesian Rd Suite 127 Naperville IL 60564-8547 Ph: (630) 809-6678 |
| NPI Number | 1922419274 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922419274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19.021254 (Illinois) | Primary |
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