Organization
BRENT A ITO DMD MS PC
Active
Other names
Girgis Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A. ITO DMD, MS (PRESIDENT)
(630) 769-0707
Entity
Organization
Contact information
Practice address
7350 JANES AVE, WOODRIDGE, IL 60517-2339
(630) 769-0707
Mailing address
7350 JANES AVE, WOODRIDGE, IL 60517-2339
(630) 769-0707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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