Organization
ADVANCED ORTHODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN BICKNELL DDS.,MS (PRESIDENT)
(630) 832-8320
Entity
Organization
Contact information
Practice address
275 N YORK ST, SUITE 200, ELMHURST, IL 60126-2766
(630) 832-8320
Mailing address
275 N YORK ST, SUITE 200, ELMHURST, IL 60126-2766
(630) 832-8320
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60008693
IL
Other
Enumeration date
10/23/2006
Last updated
06/16/2008
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