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Organization
WEST AURORA FAMILY DENTAL LLC
Active
Organization
WEST AURORA FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J ACIERNO DDS (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
1940 W GALENA BLVD STE 7, AURORA, IL 60506-4482
(630) 339-3172
Mailing address
1699 E WOODFIELD RD STE 102, SCHAUMBURG, IL 60173-4955
(630) 339-3172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019025570
IL
1223G0001X
General Practice Dentistry
019026827
IL
1223G0001X
General Practice Dentistry
019029852
IL
1223G0001X
General Practice Dentistry
Primary
019031185
IL
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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