Organization
GLEN ELLYN FAMILY DENTAL CARE
Active
Other names
Dr Theresa M Jansky DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE A SANSONE (OFFICE MANAGER)
(630) 858-0216
Entity
Organization
Contact information
Practice address
658 ROOSEVELT RD, GLEN ELLYN, IL 60137
(630) 858-0216
(630) 858-0022
Mailing address
658 ROOSEVELT RD, GLEN ELLYN, IL 60137
(630) 858-0216
(630) 858-0022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019339
IL
122300000X
Dentist
019021405
IL
122300000X
Dentist
019023247
IL
Other
Enumeration date
11/01/2006
Last updated
02/15/2012
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