Organization
PARK BLVD DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SZESZYCKI DDS (PRESIDENT)
(630) 469-0800
Entity
Organization
Contact information
Practice address
45 S PARK BLVD, STE 190, GLEN ELLYN, IL 60137-6280
(630) 469-0800
(630) 474-0597
Mailing address
45 S PARK BLVD, STE 190, GLEN ELLYN, IL 60137-6280
(630) 469-0800
(630) 474-0597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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