Individual
DR. ERNEST S OPIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
128 W SAINT CHARLES RD, VILLA PARK, IL 60181-2426
(630) 686-2434
(630) 686-2436
Mailing address
128 W SAINT CHARLES RD, VILLA PARK, IL 60181-2426
(630) 686-2434
(630) 686-2436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028296
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396126546
DENTALMAX, P.C.
IL
Enumeration date
05/28/2010
Last updated
09/20/2015
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