PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC

BOLINGBROOK, IL
NPI1457987901
Entity TypeOrganization
Authorized ContactAMANDA KURTZ
Credentialing Specialist
724-698-2058
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
160 E BOUGHTON RD
BOLINGBROOK, IL 60440-2014
Phone number: 630-410-1766
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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