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Organization

DR BRIAN PAUL DEL CARLO MS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN PAUL DEL CARLO MS DDS (OWNER)
(630) 969-4413
Entity
Organization

Contact information

Practice address
1043 CURTISS STREET, DOWNERS GROVE, IL 60515
(630) 969-4413
(630) 969-4414
Mailing address
1043 CURTISS STREET, DOWNERS GROVE, IL 60515
(630) 969-4413
(630) 969-4413

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19025025
IL
1223P0300X
Periodontics
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
IL

Other

Enumeration date
12/14/2006
Last updated
08/30/2007
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