DR. Derek H Fornelli, D.D.S.

NPI #1093947277 in Elmhurst, Illinois

Provider Information

NPI Number
1093947277
Entity Type
Individual
Name
DR. Derek H Fornelli, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 20, 2009
Last Updated
Aug 20, 2009

Practice Location

Address
132 N ADDISON AVE
ZIP Code
60126-2864
Phone
(630) 834-4140

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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