Individual
DR. BRENT A. ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
7350 JANES AVE, WOODRIDGE, IL 60517-2339
(630) 769-0707
Mailing address
7350 JANES AVE, WOODRIDGE, IL 60517-2339
(630) 769-0707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.003149
IL
Other
Enumeration date
08/20/2020
Last updated
12/22/2023
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