| William J Dvorak DDS Ltd | |
|
430 N Main Street Glen Ellyn IL 60137 | |
| (630) 858-7017 | |
| (630) 858-4399 |
| Full Name | William J Dvorak DDS Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 430 N Main Street, Glen Ellyn, Illinois |
| Authorized Official Name and Position | William J Dvorak (PRES) |
| Authorized Official Contact | 6308587017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Dvorak DDS Ltd 430 N Main Street Glen Ellyn IL 60137 Ph: (630) 858-7017 | William J Dvorak DDS Ltd 430 N Main Street Glen Ellyn IL 60137 Ph: (630) 858-7017 |
| NPI Number | 1730247099 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730247099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19 14549 (Illinois) | Primary |
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