Tru Dental Illinois II Pllc

NPI #1316522766 in Aurora, Illinois

Provider Information

NPI Number: 1316522766
Entity Type: Organization
Organization Name: Tru Dental Illinois II Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: TRU DENTAL ILLINOIS II PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2021
Last Updated: Mar 25, 2021

Practice Location

Address: 2418 W INDIAN TRL STE E
City: Aurora
State: Illinois
ZIP Code: 60506-1590
Phone: (630) 907-2180

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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