Innovative Pediatric Dentistry
Innovative Pediatric Dentistry is a Pediatric Dentistry in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
55 S Main St Ste 241Naperville, IL 60540-5377
Phone: (630) 848-2010
Fax: (630) 848-2011
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 4744296 (IL) |
|---|
Record details
| NPI number | 1447644802 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Lavacca — President · (630) 848-2010 |
| NPI enumerated | March 24, 2015 |
| Last updated in NPPES | March 24, 2015 |
| Mailing address | 55 S Main St Ste 241, Naperville, IL 60540-5377 |
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