Organization
GROVE DENTAL ASSOCIATES., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESANN DALE YOUNG (OFFICE MANAGER)
(630) 969-5350
Entity
Organization
Contact information
Practice address
6800 MAIN ST, 3RD FLOOR, DOWNERS GROVE, IL 60516-3493
(630) 969-5350
(630) 969-4692
Mailing address
6800 MAIN ST, 3RD FLOOR, DOWNERS GROVE, IL 60516-3493
(630) 969-5350
(630) 969-4692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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