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Organization
DENTALMAX P.C.
Active
Organization
DENTALMAX P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST OPIOLA DDS (PRESIDENT)
(773) 919-9876
Entity
Organization
Contact information
Practice address
128 W SAINT CHARLES RD, VILLA PARK, IL 60181-2426
(773) 919-9876
Mailing address
128 W SAINT CHARLES RD, VILLA PARK, IL 60181-2426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028296
IL
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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