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Organization
TRU DENTAL ILLINOIS II PLLC
Active
Organization
TRU DENTAL ILLINOIS II PLLC
Active
Parent organization
TRU DENTAL ILLINOIS II PLLC
Other names
Orchard Valley Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRU DENTAL ILLINOIS II PLLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
2418 W INDIAN TRL STE E, AURORA, IL 60506-1590
(630) 907-2180
(630) 907-2180
Mailing address
2418 W INDIAN TRL STE E, AURORA, IL 60506-1590
(630) 907-2180
(630) 907-2180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/25/2021
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