Organization
BELLA DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSIA AN (PRESIDENT)
(630) 851-5250
Entity
Organization
Contact information
Practice address
2525 RED HAWK RIDGE DR, AURORA, IL 60503-6295
(630) 800-1522
Mailing address
2211 S EOLA RD, SUITE D, AURORA, IL 60503-6485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026799
IL
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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