Orchard Crossing Family Dentistry

NPI #1356670202 in Montgomery, Illinois

Provider Information

NPI Number: 1356670202
Entity Type: Organization
Organization Name: Orchard Crossing Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Dec 23, 2009
Last Updated: Dec 23, 2009

Practice Location

Address: 2080 ORCHARD RD
City: Montgomery
State: Illinois
ZIP Code: 60538-1059
Phone: (630) 859-3550

Authorized Official

Name: JOHN P GASPARD
Title: OWNER/DOCTOR
Phone: (630) 859-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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