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Organization

AKINWALE AKINWANDE DDS MS PLLC

Active
Other names
Prime Associates Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AKINWALE BANJI AKINWANDE DDS, MS (PRESIDENT/ OWNER)
(815) 464-6465
Entity
Organization

Contact information

Practice address
21128 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 464-6465
(815) 464-6479
Mailing address
21128 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 464-6465
(815) 464-6479

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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