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Organization
THORNWOOD FAMILY DENTAL
Active
Organization
THORNWOOD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY K GUSTAFSON (MANAGER)
(815) 871-2960
Entity
Organization
Contact information
Practice address
1900 SILVER GLEN RD, SOUTH ELGIN, IL 60177-3316
(847) 888-1999
Mailing address
1900 SILVER GLEN RD, SOUTH ELGIN, IL 60177-3316
(847) 888-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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