Organization
CARILLON DENTAL LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INTHUMATHY SIVANANTHAN (DDS)
(815) 372-1160
Entity
Organization
Contact information
Practice address
410 N WEBER RD, ROMEOVILLE, IL 60446-4945
(815) 372-1160
(815) 372-1162
Mailing address
410 N WEBER RD, ROMEOVILLE, IL 60446-4945
(815) 372-1160
(815) 372-1162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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