Organization
MINALT & WOJCICKI DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MINALT DDS (MEMBER)
(630) 671-0700
Entity
Organization
Contact information
Practice address
1 TIFFANY PT, SUITE 209, BLOOMINGDALE, IL 60108-2936
(630) 671-0700
Mailing address
1 TIFFANY PT, SUITE 209, BLOOMINGDALE, IL 60108-2936
(630) 671-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021250
IL
122300000X
Dentist
019029179
IL
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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