Organization
DENTAL PARTNERS OF WOODRIDGE LLC
Active
Other names
4 Star Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE BLASKO DMD (DENTIST/PARTNER)
(630) 869-0063
Entity
Organization
Contact information
Practice address
2309 63RD ST, WOODRIDGE, IL 60517-1300
(630) 869-0063
(630) 296-8966
Mailing address
2309 63RD ST, WOODRIDGE, IL 60517-1300
(630) 869-0063
(630) 296-8966
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.026417
IL
Other
Enumeration date
10/03/2017
Last updated
07/21/2022
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