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Elizabeth Ninan

Dentist, General Practice in Warrenville, IL. Individual provider (NPI-1).

NPI number1942722012
StatusActive
Last updated in NPPESSep 28, 2022

Details

NPI
1942722012
Entity type
Individual (NPI-1)
Name
Elizabeth Ninan
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2017
Certification date
Sep 28, 2022
Last updated
Sep 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice019031232ILYes
122300000X Dentist019.031232IL

Practice location

29w150 Butterfield Rd Ste 101
Warrenville, IL 60555-2805

Phone 630-965-1850

Mailing address

29w150 Butterfield Rd Ste 101
Warrenville, IL 60555-2805

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Other General Practice Dentistry providers in Warrenville, IL

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