| Park Blvd Dentistry | |
|
45 S Park Blvd Ste 190 Glen Ellyn IL 60137-6282 | |
| (630) 469-0800 | |
| (630) 474-0597 |
| Full Name | Park Blvd Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 45 S Park Blvd Ste 190, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Paul David Doodes (OWNER) |
| Authorized Official Contact | 6307651709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Blvd Dentistry 45 S Park Blvd Ste 190 Glen Ellyn IL 60137-6282 Ph: (630) 469-0800 | Park Blvd Dentistry 45 S Park Blvd Ste 190 Glen Ellyn IL 60137-6282 Ph: (630) 469-0800 |
| NPI Number | 1285232827 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285232827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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Robert F. Brandys DDS, Msd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 225, Glen Ellyn, IL 60137 Phone: 630-469-1500 Fax: 630-469-8533 |
Park Blvd Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 |
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