Individual
ELIZABETH NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29W150 BUTTERFIELD RD STE 101, WARRENVILLE, IL 60555-2805
(630) 965-1850
Mailing address
29W150 BUTTERFIELD RD STE 101, WARRENVILLE, IL 60555-2805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031232
IL
1223G0001X
General Practice Dentistry
Primary
019031232
IL
Other
Enumeration date
07/11/2017
Last updated
09/28/2022
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