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Toothtown Pllc
Dental Clinic/Center in Addison, Illinois
NPI 1508590415

Toothtown Pllc is a Dental Clinic/Center based in Villa Park, IL and is specialized in Dental. Toothtown Pllc practices in Addison, IL. The NPI Number for Toothtown Pllc is 1508590415 and holds a License No. (Illinois).

The current practice location address for Toothtown Pllc is 303 W Lake St Ste 300, Addison, IL and can be reached out via phone at 630-352-1547.

Location: 303 W Lake St Ste 300, Addison, IL, 60181-1146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508590415
Provider Name
Toothtown Pllc
Credential
Provider Entity Type
Organization
Address
303 W Lake St Ste 300, Addison, IL, 60181-1146
Phone Number
630-352-1547
Fax Number
Provider Enumeration Date
07/15/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019030794 05 IL
institution
Provider Business Practice Location Address Details
Address
303 W Lake St Ste 300
City
Addison
State
Illinois
Zip
60101-2564
Phone Number
630-352-1547
Fax Number
person
Provider Business Mailing Address Details
Address
303 W Lake St Ste 300
City
Addison
State
Illinois
Zip
60101-2564
Phone Number
630-352-1547
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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