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Organization
SUGAR GROVE DENTAL ASSOCIATES,P.C.
Active
Organization
SUGAR GROVE DENTAL ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN LOUIS DEWEIRDT JR. D.D.S. (PRESIDENT)
(630) 466-1100
Entity
Organization
Contact information
Practice address
495 NORTH ROUTE 47, SUITE J, SUGAR GROVE, IL 60554
(630) 466-1100
(630) 810-9922
Mailing address
495 NORTH ROUTE 47, SUITE J, SUGAR GROVE, IL 60554
(630) 466-1100
(630) 810-9922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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