Organization
PEBBLEWOOD DENTAL
Active
Other names
Pebblewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSA NAVARRO DDS (OWNER/DENTIST)
(630) 369-6222
Entity
Organization
Contact information
Practice address
1550 N ROUTE 59 STE 148, NAPERVILLE, IL 60563-0152
(630) 369-6222
Mailing address
1550 N ROUTE 59 STE 148, NAPERVILLE, IL 60563-0152
(630) 369-6222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026759
IL
Other
Enumeration date
06/28/2018
Last updated
07/21/2022
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