Organization
SHERMAN OAKS DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN A WEYNETH (OWNER/DENTIST)
(630) 369-5225
Entity
Organization
Contact information
Practice address
1100 SHERMAN AVE, SUITE 103, NAPERVILLE, IL 60563-8608
(630) 369-5225
Mailing address
1100 SHERMAN AVE, SUITE 103, NAPERVILLE, IL 60563-8608
(630) 369-5225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019022305
IL
Other
Enumeration date
10/13/2010
Last updated
11/27/2017
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