Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C
Other names
Romeoville Smiles Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
450 S WEBER RD, ROMEOVILLE, IL 60446-6570
(262) 261-0059
Mailing address
450 S WEBER RD, ROMEOVILLE, IL 60446-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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