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Organization
NUGENT AND SACK DDS
Active
Organization
NUGENT AND SACK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R NUGENT D.D.S. (PARTNER)
(630) 968-5900
Entity
Organization
Contact information
Practice address
425 BURLINGTON AVE, DOWNERS GROVE, IL 60515-5127
(630) 968-5900
Mailing address
425 BURLINGTON AVE, DOWNERS GROVE, IL 60515-5127
(630) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019018088
IL
1223G0001X
General Practice Dentistry
Primary
019018770
IL
Other
Enumeration date
03/16/2006
Last updated
02/28/2008
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