| Innovative Orthodontics, Inc | |
|
1905 Marketview Dr Unit 274 Yorkville IL 60560-1896 | |
| (630) 878-0351 | |
| Not Available |
| Full Name | Innovative Orthodontics, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1905 Marketview Dr, Yorkville, Illinois |
| Authorized Official Name and Position | Barbara J Madden (PRESIDENT) |
| Authorized Official Contact | 6308780351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Orthodontics, Inc 1905 Marketview Dr Unit 274 Yorkville IL 60560-1896 Ph: (630) 878-0351 | Innovative Orthodontics, Inc 1905 Marketview Dr Unit 274 Yorkville IL 60560-1896 Ph: (630) 878-0351 |
| NPI Number | 1649545575 |
|---|---|
| Provider Enumeration Date | 03/10/2012 |
| Last Update Date | 03/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649545575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019020648 (Illinois) | Primary |
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