Individual
DR. GEORGE RANDALL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2550 W FABYAN PKWY, BATAVIA, IL 60510-1572
(630) 208-1200
(630) 402-0378
Mailing address
2550 W FABYAN PKWY, BATAVIA, IL 60510-1572
(630) 208-1200
(630) 402-0378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019024145
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002022
IL
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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