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Organization

TWIN OAKS ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EVELYN WILEY (ORTHODONTIST)
(630) 434-8800
Entity
Organization

Contact information

Practice address
6440 MAIN ST, SUITE 300, WOODRIDGE, IL 60517-1752
(630) 434-8800
(630) 434-9157
Mailing address
6440 MAIN ST, SUITE 300, WOODRIDGE, IL 60517-1752
(630) 434-8800
(630) 434-9157

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
019014774
IL

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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