Organization
ORTHODONTIC EXPERTS
Active
Parent organization
ORTHODONTIC EXPERTS LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC EXPERTS LTD
Authorized official
MONIKA BZDAL (MANAGER)
(773) 801-7171
Entity
Organization
Contact information
Practice address
2496 DEKALB AVE STE B, SYCAMORE, IL 60178-3294
(815) 756-5200
Mailing address
1250 W NORTHWEST HWY, MT PROSPECT, IL 60056-2274
(815) 756-5200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154674471
—
IL
Enumeration date
12/05/2017
Last updated
01/29/2021
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