| West Suburban Oral Health Care | |
|
380 W. Diehl Road Naperville IL 60563 | |
| (630) 393-3045 | |
| (630) 393-3920 |
| Full Name | West Suburban Oral Health Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 380 W. Diehl Road, Naperville, Illinois |
| Authorized Official Name and Position | Susan M. Mazzei (PRESIDENT/CEO) |
| Authorized Official Contact | 6303933045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Oral Health Care 380 W. Diehl Road Naperville IL 60563 Ph: (630) 393-3045 | West Suburban Oral Health Care 380 W. Diehl Road Naperville IL 60563 Ph: (630) 393-3045 |
| NPI Number | 1902915986 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902915986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-021039 (Illinois) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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