| Willow Ridge Dental Group Llc | |
|
720 Brom Ct Suite 105 Naperville IL 60540-6531 | |
| (630) 420-2800 | |
| Not Available |
| Full Name | Willow Ridge Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Brom Ct, Naperville, Illinois |
| Authorized Official Name and Position | Jeffrey Richard Onik (MEMBER) |
| Authorized Official Contact | 6304202800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Ridge Dental Group Llc 720 Brom Ct Suite 105 Naperville IL 60540-6531 Ph: (630) 420-2800 | Willow Ridge Dental Group Llc 720 Brom Ct Suite 105 Naperville IL 60540-6531 Ph: (630) 420-2800 |
| NPI Number | 1215206842 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215206842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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