Organization
JWWDENTAL LLC
Active
Other names
Renovo Endodontic Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA DEJESUS (INSURANCE COORDINATOR)
(847) 517-8330
Entity
Organization
Contact information
Practice address
808 E WOODFIELD RD, SUITE 300, SCHAUMBURG, IL 60173-4816
(847) 517-8330
Mailing address
808 E WOODFIELD RD, SUITE 300, SCHAUMBURG, IL 60173-4816
(847) 517-8330
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
IL
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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