West Suburban Endodontics LLC

NPI #1821491937 in Wheaton, Illinois

Provider Information

NPI Number: 1821491937
Entity Type: Organization
Organization Name: West Suburban Endodontics LLC
Primary Specialty: Dentist - Endodontics
Enumeration Date: Oct 2, 2014
Last Updated: Oct 30, 2020

Practice Location

Address: 1749 S NAPERVILLE ROAD
Address 2: SUITE 100
City: Wheaton
State: Illinois
ZIP Code: 60189
Phone: (630) 653-3636

Authorized Official

Name: DR. BRIAN WARDELL, DMD
Title: MANAGER
Phone: (630) 655-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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