Organization
ELITE PERIODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA BELANI D.D.S., M.S. (PERIODONTIST)
(630) 452-3194
Entity
Organization
Contact information
Practice address
2124 OGDEN AVE, SUITE 104, AURORA, IL 60504-7514
(630) 585-6100
(630) 585-6107
Mailing address
2124 OGDEN AVE, SUITE 104, AURORA, IL 60504-7514
(630) 585-6100
(630) 585-6107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019027902
IL
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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