Sandpiper Dental P.C.
Dentist in Winfield, IL. Organization (NPI-2).
NPI number1427190818
StatusActive
Last updated in NPPESMay 3, 2008
Details
- NPI
- 1427190818
- Entity type
- Organization (NPI-2)
- Legal business name
- Sandpiper Dental P.C.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- May 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019-021716 | IL | Yes |
Practice location
1n141 County Farm RdSuite 150
Winfield, IL 60190-2032
Phone 630-588-1700 · Fax 630-588-1706
Mailing address
1n141 County Farm RdSuite 150
Winfield, IL 60190-2032
Phone 630-588-1700 · Fax 630-588-1706
Authorized official
Theresa Lao
President
6305881700
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