Organization
PAUL DOODES DDS PHD PC
Active
Other names
Park Blvd Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID DOODES DDS PHD (OWNER)
(630) 765-1709
Entity
Organization
Contact information
Practice address
45 S PARK BLVD STE 190, GLEN ELLYN, IL 60137-6282
(630) 469-0800
(630) 474-0597
Mailing address
45 S PARK BLVD STE 190, GLEN ELLYN, IL 60137-6282
(630) 469-0800
(630) 474-0597
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
11/18/2020
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