De La Fuente, Dmd P.c.

NPI #1982370334 in Wheaton, Illinois

Provider Information

NPI Number: 1982370334
Entity Type: Organization
Organization Name: De La Fuente, Dmd P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 1985 N GARY AVE
City: Wheaton
State: Illinois
ZIP Code: 60187-3056
Phone: (630) 724-7765

Authorized Official

Name: MR. ISIDRO DE LA FUENTE
Title: BUSINESS MANAGER
Phone: (630) 724-7765

Specialties & Taxonomy Codes

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

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