| West Suburban Orthodontics | |
|
135 Addison Ave Ste C Elmhurst IL 60126 | |
| (630) 279-5577 | |
| (630) 279-5599 |
| Full Name | West Suburban Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 135 Addison Ave, Elmhurst, Illinois |
| Authorized Official Name and Position | Jeffrey T Boland (OWNER) |
| Authorized Official Contact | 6302795577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Orthodontics 135 Addison Ave Ste C Elmhurst IL 60126 Ph: (630) 279-5577 | West Suburban Orthodontics 135 Addison Ave Ste C Elmhurst IL 60126 Ph: (630) 279-5577 |
| NPI Number | 1548366081 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548366081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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