| Bryan a Weyneth DDS PC | |
|
1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 | |
| (630) 369-5225 | |
| (630) 369-7416 |
| Full Name | Bryan a Weyneth DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1100 Sherman Ave Ste 1031100, Naperville, Illinois |
| Authorized Official Name and Position | Dorothy Hernandez (CREDENTIALING AGENT CONTRACT LABOR) |
| Authorized Official Contact | 9287794404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan a Weyneth DDS PC 1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 Ph: (630) 369-5225 | Bryan a Weyneth DDS PC 1100 Sherman Ave Ste 1031100 Naperville IL 60563-8608 Ph: (630) 369-5225 |
| NPI Number | 1972146470 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972146470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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