Organization
DR GERARD AYLWARD ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD AYLWARD BDS, MS (ORTHODONTIST)
(708) 456-5454
Entity
Organization
Contact information
Practice address
222 PLUM GROVE ROAD, STE 2, PALATINE, IL 60067
(847) 721-5061
(847) 359-3012
Mailing address
710 BRAEBURN RD, INVERNESS, IL 60067-4224
(847) 358-9000
(847) 359-3012
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001218
IL
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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