Individual
ANDREA ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
40W320 LAFOX RD, SUITE D, ST CHARLES, IL 60175-6545
(630) 762-0000
(630) 762-9966
Mailing address
40W320 LAFOX RD, SUITE D, ST CHARLES, IL 60175-6545
(630) 762-0000
(630) 762-9966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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