Organization
RENEW ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL ASHBECK DDS MS (ORTHODONTIST)
(815) 363-8474
Entity
Organization
Contact information
Practice address
2302 N RICHMOND RD, MCHENRY, IL 60051-5403
(815) 363-8474
(815) 363-0246
Mailing address
2302 N RICHMOND RD, MCHENRY, IL 60051-5403
(815) 363-8474
(815) 363-0246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019024635
IL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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