Suburban Periodontal Associates Limited

NPI #1578680765 in Oak Brook, Illinois

Provider Information

NPI Number: 1578680765
Entity Type: Organization
Organization Name: Suburban Periodontal Associates Limited
Primary Specialty: Dentist - Periodontics
Enumeration Date: Mar 23, 2007
Last Updated: Nov 10, 2015

Practice Location

Address: 120 OAKBROOK CENTER
Address 2: SUITE 600
City: Oak Brook
State: Illinois
ZIP Code: 60523
Phone: (630) 368-0605

Authorized Official

Name: MRS. GINA D GRUENDEMAN, DDS
Title: PRESIDENT
Phone: (630) 368-0605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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