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Organization
WILLIAM L. BACON, D.D.S., LTD.
Active
Organization
WILLIAM L. BACON, D.D.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L. BACON D.D.S. (GENERAL DENTIST)
(630) 832-1212
Entity
Organization
Contact information
Practice address
332 N YORK ST, ELMHURST, IL 60126-2318
(630) 832-1212
(630) 504-2208
Mailing address
332 N YORK ST, ELMHURST, IL 60126-2318
(630) 832-1212
(630) 504-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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