| Bolingbrook Dental Associates Llc | |
|
391 Quadrangle Dr Bolingbrook IL 60440-3442 | |
| (630) 759-4400 | |
| Not Available |
| Full Name | Bolingbrook Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 391 Quadrangle Dr, Bolingbrook, Illinois |
| Authorized Official Name and Position | Oscar G Gonzalez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2194658627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolingbrook Dental Associates Llc 391 Quadrangle Dr Bolingbrook IL 60440-3442 Ph: (630) 759-4400 | Bolingbrook Dental Associates Llc 391 Quadrangle Dr Bolingbrook IL 60440-3442 Ph: (630) 759-4400 |
| NPI Number | 1003370248 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003370248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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