Organization
WESTFALLEN ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA MARIE WESTFALLEN D.D.S., M.S. (PRESIDENT)
(847) 823-5010
Entity
Organization
Contact information
Practice address
137 VINE AVE, PARK RIDGE, IL 60068-4139
(847) 823-5010
Mailing address
137 VINE AVE, PARK RIDGE, IL 60068-4139
(847) 823-5010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
12/02/2007
Last updated
12/02/2007
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