Aurora Modern Dental LLC

NPI #1447573613 in Aurora, Illinois

Provider Information

NPI Number: 1447573613
Entity Type: Organization
Organization Name: Aurora Modern Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 2, 2010
Last Updated: Mar 2, 2010

Practice Location

Address: 808 N ROUTE 59
City: Aurora
State: Illinois
ZIP Code: 60504-4912
Phone: (630) 692-0500

Authorized Official

Name: MR. JEFF THOMAS
Title: PRESIDENT
Phone: (618) 532-4902

Specialties & Taxonomy Codes

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

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