is a Dentist in Sugar Grove, Illinois. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1679730675. The last update date is .
's current location address is Po Box 235, Sugar Grove, Illinois. You can contact this provider via phone number 6304664511 and fax number 6304664573. The mailing address for is Po Box 235, Sugar Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 235, Sugar Grove, Illinois |
| Phone Number | 6304664511 |
| Fax Number | 6304664573 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679730675 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 235 |
|---|---|
| City | Sugar Grove |
| State | Illinois (IL) |
| Post Code | 60554 |
| Phone Number | 6304664511 |
| Fax Number | 6304664573 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19022135 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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