Organization
JAMES STREET DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SLAVIK (PRESIDENT)
(630) 485-5147
Entity
Organization
Contact information
Practice address
22 JAMES ST, GENEVA, IL 60134-4513
(630) 232-9535
Mailing address
507 S 12TH ST, SAINT CHARLES, IL 60174-3646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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