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Organization
OSWEGO DENTAL GROUP, LLC
Active
Organization
OSWEGO DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DIXON DO (BUSINESS MANAGER)
(630) 554-8600
Entity
Organization
Contact information
Practice address
4771 ROUTE 71, OSWEGO, IL 60543-7415
(630) 554-8600
Mailing address
4771 ROUTE 71, OSWEGO, IL 60543-7415
(630) 554-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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