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Dr. Sara E. Banuelos, D.D.S

Dentist in Downers Grove, IL. Individual provider (NPI-1).

NPI number1164542429
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164542429
Entity type
Individual (NPI-1)
Name
Dr. Sara E. Banuelos
Credential
D.D.S
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019.021895ILYes

Practice location

3800 Highland Ave Ste 108
Downers Grove, IL 60515-1558

Phone 630-241-0666 · Fax 630-241-7275

Mailing address

3800 Highland Ave Ste 108
Downers Grove, IL 60515-1558

Phone 630-241-0666 · Fax 630-241-7275

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