Organization
JOSEPSH W. NOETZEL D.D.S. AND ILENNE NOETZEL D.D.S.,LTD.
Active
Other names
Ashland Dental and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
ILENNE NOETZEL (DDS)
(708) 755-1333
Entity
Organization
Contact information
Practice address
500 ASHLAND AVE, CHICAGO HEIGHTS, IL 60411-3091
(708) 755-1333
(708) 755-2751
Mailing address
500 ASHLAND AVE, CHICAGO HEIGHTS, IL 60411-3091
(708) 755-1333
(708) 755-2751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-024540
IL
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/02/2007
Last updated
09/18/2023
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