Individual
DR. GERALD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5530 W 79TH ST, BURBANK, IL 60459-1302
(708) 424-2900
(708) 424-6118
Mailing address
5530 W 79TH ST, BURBANK, IL 60459-1302
(708) 424-2900
(708) 424-6118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026631
IL
1223G0001X
General Practice Dentistry
Primary
019026631
IL
Other
Enumeration date
04/03/2008
Last updated
04/08/2019
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