Bolingbrook Dental Associates LLC
NPI #1003370248 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1003370248
- Entity Type
- Organization
- Organization Name
- Bolingbrook Dental Associates LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 22, 2019
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 391 QUADRANGLE DR
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-3442
- Phone
- (630) 759-4400
Authorized Official
- Name
- OSCAR G GONZALEZ
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (219) 465-8627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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