A Dental Place
Clinic/Center, Dental in Lombard, IL. Organization (NPI-2).
NPI number1427699008
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1427699008
- Entity type
- Organization (NPI-2)
- Legal business name
- A Dental Place
- Organization subpart
- No
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
845 S Main St Ste 202Lombard, IL 60148-3350
Phone 630-620-7300
Mailing address
845 S Main St Ste 202Lombard, IL 60148-3350
Phone 630-620-7300
Authorized official
Robin Castro
President
6306207300
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