Organization
JOHN R. THODOS D.D.S., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT THODOS D.D.S. (PRESIDENT)
(847) 458-1437
Entity
Organization
Contact information
Practice address
1437 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-1437
(847) 458-1628
Mailing address
1437 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-1437
(847) 458-1628
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001229
IL
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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