Organization
WEST SUBURBAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY T BOLAND DDS (OWNER)
(630) 279-5577
Entity
Organization
Contact information
Practice address
135 ADDISON AVE, STE C, ELMHURST, IL 60126
(630) 279-5577
(630) 279-5599
Mailing address
135 ADDISON AVE, STE C, ELMHURST, IL 60126
(630) 279-5577
(630) 279-5599
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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