Organization
INNOVATIVE ORTHODONTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J MADDEN (PRESIDENT)
(630) 878-0351
Entity
Organization
Contact information
Practice address
1905 MARKETVIEW DR, UNIT 274, YORKVILLE, IL 60560-1896
(630) 878-0351
Mailing address
1905 MARKETVIEW DR, UNIT 274, YORKVILLE, IL 60560-1896
(630) 878-0351
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019020648
IL
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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