Organization
ALBERT K. ANDREW II,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT KIMBALL ANDREW II DDS (CEO/OWNER)
(630) 554-2873
Entity
Organization
Contact information
Practice address
2759 US HIGHWAY 34, OSWEGO, IL 60543-8949
(630) 554-2873
(630) 554-4574
Mailing address
2759 US HIGHWAY 34, OSWEGO, IL 60543-8949
(630) 554-2873
(630) 554-4574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001072
—
IL
Enumeration date
04/08/2008
Last updated
04/20/2008
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