| Westwyn Dental Llc | |
|
6901 Stanley Ave Berwyn IL 60402-2919 | |
| (708) 795-1255 | |
| Not Available |
| Full Name | Westwyn Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6901 Stanley Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Gary Roger Clemens (DENTIST) |
| Authorized Official Contact | 7087951255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwyn Dental Llc 6901 Stanley Ave Berwyn IL 60402-2919 Ph: (708) 795-1255 | Westwyn Dental Llc 6901 Stanley Ave Berwyn IL 60402-2919 Ph: (708) 795-1255 |
| NPI Number | 1831749282 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831749282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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