Westwyn Dental LLC

NPI #1831749282 in Berwyn, Illinois

Provider Information

NPI Number: 1831749282
Entity Type: Organization
Organization Name: Westwyn Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 6901 STANLEY AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-2919
Phone: (708) 795-1255

Authorized Official

Name: DR. GARY ROGER CLEMENS, DDS
Title: DENTIST
Phone: (708) 795-1255

Specialties & Taxonomy Codes

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

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