956 Deerfield Sto LLC

NPI #1417773920 in Deerfield, Illinois

Provider Information

NPI Number
1417773920
Entity Type
Organization
Organization Name
956 Deerfield Sto LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 29, 2024
Last Updated
Nov 29, 2024

Practice Location

Address
956 DEERFIELD RD UNIT B
ZIP Code
60015-4155
Phone
(847) 940-4700

Authorized Official

Name
DR. MELISSA VILLAFANE-SWABY, DMD
Title
OWNER
Phone
(630) 532-0207

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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