Organization
DUPAGE DENTAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE WEIS (OFFICE MANAGER)
(630) 388-5360
Entity
Organization
Contact information
Practice address
1112 S. WASHINGTON ST, SUITE 203, NAPERVILLE, IL 60540
(630) 388-5360
Mailing address
P.O. BOX 9137, NAPERVILLE, IL 60567
(630) 388-5360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018724
IL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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