Clay Gordon Vanderwall, DDS

NPI #1962694737 in Bolingbrook, Illinois

Provider Information

NPI Number: 1962694737
Entity Type: Individual
Name: Clay Gordon Vanderwall, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 406 W BOUGHTON RD
Address 2: SUITE B
City: Bolingbrook
State: Illinois
ZIP Code: 60440-1340
Phone: (630) 759-8940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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