| Living Well Dental Group | |
|
1516 Legacy Cir Unit #104 Naperville IL 60563-1257 | |
| (630) 505-1516 | |
| Not Available |
| Full Name | Living Well Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1516 Legacy Cir, Naperville, Illinois |
| Authorized Official Name and Position | Keven D Wells (PRESIDENT) |
| Authorized Official Contact | 7737930734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Dental Group 1516 Legacy Cir Unit 104 Naperville IL 60563-1257 Ph: (630) 505-1516 | Living Well Dental Group 1516 Legacy Cir Unit #104 Naperville IL 60563-1257 Ph: (630) 505-1516 |
| NPI Number | 1821402017 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821402017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026710 (Illinois) | Primary |
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