Organization
NAPERVILLE ORTHODONTIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R PRINCE D.D.S. (OWNER)
(630) 995-3547
Entity
Organization
Contact information
Practice address
25W380 CHICAGO AVE, NAPERVILLE, IL 60540-5806
(630) 995-3547
(630) 995-3547
Mailing address
25W380 CHICAGO AVE, NAPERVILLE, IL 60540-5806
(630) 995-3547
(630) 995-3547
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021-000784
IL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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