Suzy Azlea Dmd Ltd
NPI #1053557512 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1053557512
- Entity Type
- Organization
- Organization Name
- Suzy Azlea Dmd Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- YES
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 5, 2009
- Last Updated
- Jan 5, 2009
Practice Location
- Address
- 761 E BOUGHTON RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2281
- Phone
- (630) 739-9430
Authorized Official
- Name
- JILL HERNADEZ
- Title
- OFFICEE MANAGER
- Phone
- (630) 739-9430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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