Dental Professionals of Illinois, P.c.
NPI #1003316035 in Naperville, Illinois
Provider Information
- NPI Number
- 1003316035
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Illinois, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF ILLINOIS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 16, 2018
- Last Updated
- Feb 16, 2018
Practice Location
- Address
- 309 W OGDEN AVE
- City
- Naperville
- State
- Illinois
- ZIP Code
- 60563-3000
- Phone
- (630) 355-3339
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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