Organization
DR. TOM DENTISTRY ELBURN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A MILLS (OFFICE MANAGER)
(630) 365-9421
Entity
Organization
Contact information
Practice address
400 N MAIN ST, ELBURN, IL 60119-9162
(630) 365-9421
(630) 365-1024
Mailing address
PO BOX 8015, ELBURN, IL 60119-8015
(630) 365-9421
(630) 365-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029192
IL
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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