Premier Dental Group Personal Corporation

NPI #1801583570 in Wheaton, Illinois

Provider Information

NPI Number
1801583570
Entity Type
Organization
Organization Name
Premier Dental Group Personal Corporation
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 21, 2023
Last Updated
Apr 25, 2023

Practice Location

Address
300 S WEST ST
ZIP Code
60187-5021
Phone
(630) 665-0650

Authorized Official

Name
ANTHONY AMODIO BRUCCI, DMD
Title
DENTIST/OWNER
Phone
(708) 308-9929

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist
Clinic/Center - DentalDental

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