Individual
DR. JULIE ANN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
183 ADDISON, ELMHURST, IL 60126
(630) 832-1212
(630) 832-6041
Mailing address
183 ADDISON, ELMHURST, IL 60126
(630) 832-1212
(630) 832-6041
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0210002163
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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