Oak Brook Dental Affiliates P.c.

NPI #1023445186 in Oak Brook, Illinois

Provider Information

NPI Number: 1023445186
Entity Type: Organization
Organization Name: Oak Brook Dental Affiliates P.c.
Primary Specialty: Dentist
Enumeration Date: Oct 3, 2013
Last Updated: Oct 3, 2013

Practice Location

Address: 120 OAKBROOK CENTER MALL
Address 2: SUITE 510
City: Oak Brook
State: Illinois
ZIP Code: 60523-1806
Phone: (630) 571-0393

Authorized Official

Name: DR. JAMES B CHIDESTER
Title: OWNER
Phone: (630) 571-0393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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