Organization
ORCHARD CROSSING FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P GASPARD (OWNER/DOCTOR)
(630) 859-3550
Entity
Organization
Contact information
Practice address
2080 ORCHARD RD, MONTGOMERY, IL 60538-1059
(630) 859-3550
Mailing address
2080 ORCHARD RD, MONTGOMERY, IL 60538-1059
(630) 859-3550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026445
IL
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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