Av Dental of Woodridge

NPI #1528454030 in Woodridge, Illinois

Provider Information

NPI Number: 1528454030
Entity Type: Organization
Organization Name: Av Dental of Woodridge
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 7546 JANES AVE
City: Woodridge
State: Illinois
ZIP Code: 60517-2926
Phone: (630) 985-9787

Authorized Official

Name: JONATHAN VILLANUEVA
Title: PRACTICE MANAGER
Phone: (630) 324-6750

Specialties & Taxonomy Codes

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

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