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Individual

DR. MEREDITH GANTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, FAGD.

Contact information

Practice address
720 N WASHINGTON ST STE 106, NAPERVILLE, IL 60563-3462
(630) 420-9090
(630) 420-8081
Mailing address
720 N WASHINGTON ST STE 106, NAPERVILLE, IL 60563-3462
(630) 420-9090
(630) 420-8081

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029792
IL
1223G0001X
General Practice Dentistry
019.029792
IL

Other

Enumeration date
06/27/2014
Last updated
08/18/2021
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