ILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD

GLEN ELLYN, IL
NPI1306217252
Entity TypeOrganization
Authorized ContactRACHEL NITTINGER
Manager Credentialing
972-755-0816
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-10-16
Last Update Date2018-03-20
Business Address
ILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD
701 ROOSEVELT RD
GLEN ELLYN, IL 60137-5805
Phone number: 630-790-8430
Mailing Address
ILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD
7160 DALLAS PKWY STE 400
PLANO, TX 75024-7111
Phone number: