Ccb Dental Associates PC

NPI #1376605428 in Joliet, Illinois

Provider Information

NPI Number: 1376605428
Entity Type: Organization
Organization Name: Ccb Dental Associates PC
Primary Specialty: Dentist
Enumeration Date: Dec 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1118 N LARKIN AVENUE
City: Joliet
State: Illinois
ZIP Code: 60435
Phone: (815) 729-0661

Authorized Official

Name: DR. GINGER ANN CHRISTIAN, DDS
Title: PRESIDENT
Phone: (815) 729-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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