Organization
RESTORATION DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HINGLE DDS (OWNER/DENTIST)
(574) 361-9292
Entity
Organization
Contact information
Practice address
531 E ROOSEVELT RD STE 100, WHEATON, IL 60187-5519
(630) 923-5867
Mailing address
531 E ROOSEVELT RD STE 100, WHEATON, IL 60187-5519
(630) 923-5867
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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