Candace M Opon DDS

NPI #1972717247 in Crystal Lake, Illinois

Provider Information

NPI Number: 1972717247
Entity Type: Organization
Organization Name: Candace M Opon DDS
Primary Specialty: Dentist
Enumeration Date: May 9, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 690 N ROUTE 31
Address 2: COLLEGE HILL PROFESSIONAL BLDG
City: Crystal Lake
State: Illinois
ZIP Code: 60012
Phone: (815) 477-2177

Authorized Official

Name: MRS. CANDACE M OPON, DDS
Title: DENTIST
Phone: (815) 477-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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