Park Blvd Dentistry

NPI #1194178111 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1194178111
Entity Type: Organization
Organization Name: Park Blvd Dentistry
Primary Specialty: Dentist
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 45 S PARK BLVD
Address 2: STE 190
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-6280
Phone: (630) 469-0800

Authorized Official

Name: SHARON SZESZYCKI, DDS
Title: PRESIDENT
Phone: (630) 469-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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