Organization
KEVEN D WELLS DDS PC
Active
Other names
Living Well Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVEN D WELLS (PRESIDENT)
(773) 793-0734
Entity
Organization
Contact information
Practice address
1516 LEGACY CIR, UNIT #104, NAPERVILLE, IL 60563-1257
(630) 505-1516
Mailing address
1516 LEGACY CIR, UNIT 104, NAPERVILLE, IL 60563-1257
(630) 505-1516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026710
IL
Other
Enumeration date
06/16/2014
Last updated
06/17/2014
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