Restoration Dental Group LLC

NPI #1114417540 in Wheaton, Illinois

Provider Information

NPI Number: 1114417540
Entity Type: Organization
Organization Name: Restoration Dental Group LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 10, 2018
Last Updated: May 10, 2018

Practice Location

Address: 531 E ROOSEVELT RD STE 100
City: Wheaton
State: Illinois
ZIP Code: 60187-5519
Phone: (630) 923-5867

Authorized Official

Name: SHELLY HINGLE, DDS
Title: OWNER/DENTIST
Phone: (574) 361-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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