Westgrove Dental Center

NPI #1093141053 in Westmont, Illinois

Provider Information

NPI Number: 1093141053
Entity Type: Organization
Organization Name: Westgrove Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 23, 2013
Last Updated: Sep 23, 2013

Practice Location

Address: 519 N CASS AVE STE 102
City: Westmont
State: Illinois
ZIP Code: 60559-1514
Phone: (630) 389-0006

Authorized Official

Name: MS. LAURA FUNKE
Title: OFFICE MANAGER
Phone: (630) 389-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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