Glen Ellyn Orthodontic Associates, P.c.
NPI #1811107998 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1811107998
- Entity Type
- Organization
- Organization Name
- Glen Ellyn Orthodontic Associates, P.c.
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- May 23, 2007
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 507 DUANE ST
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-4549
- Phone
- (630) 469-5225
Authorized Official
- Name
- DR. DOUGLAS ROBERT PRINCE, DDS,MS,PC
- Title
- OWNER
- Phone
- (630) 469-5225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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