Organization
956 DEERFIELD STO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA VILLAFANE-SWABY DMD (OWNER)
(630) 532-0207
Entity
Organization
Contact information
Practice address
956 DEERFIELD RD UNIT B, DEERFIELD, IL 60015-4155
(847) 940-4700
Mailing address
2450 N PLUM GROVE RD UNIT 147, SCHAUMBURG, IL 60173-4857
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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