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Organization
THE TOOTH REPAIR SHOPPE, LTD.
Active
Organization
THE TOOTH REPAIR SHOPPE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. CALLEIA DDS (DENTIST)
(630) 682-0844
Entity
Organization
Contact information
Practice address
610 W ROOSEVELT RD, SUITE A1, WHEATON, IL 60187-5087
(630) 682-0844
(630) 682-1428
Mailing address
610 W. ROOSEVELT ROAD, SUITE A1, WHEATON, IL 60187
(630) 682-0844
(630) 682-1428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060008257
IL
Other
Enumeration date
01/05/2007
Last updated
06/20/2008
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