Individual
JOSHUA MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.033542
IL
1223P0300X
Periodontics
Primary
021.003201
IL
Other
Enumeration date
03/07/2020
Last updated
04/14/2023
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