Individual
DR. BRUCE SONNENBERG WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
45 S PARK BLVD, SUITE 220, GLEN ELLYN, IL 60137-6280
(630) 469-6200
(630) 469-6203
Mailing address
1622 JEANEL LN, AURORA, IL 60502-9635
(630) 697-0334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002325
IL
Other
Enumeration date
01/12/2006
Last updated
08/21/2015
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