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Organization
OAK BROOK DENTAL ASSOCIATES
Active
Organization
OAK BROOK DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIOS S PANOS DDS (PRESIDENT)
(630) 954-4747
Entity
Organization
Contact information
Practice address
2208 MIDWEST RD, OAK BROOK, IL 60523-1277
(630) 954-4747
(630) 954-5800
Mailing address
2208 MIDWEST ROAD, OAK BROOK, IL 60523-1277
(630) 954-4747
(630) 954-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022204
IL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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