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Contact Information

ELITE DENTAL SPECIALISTS
2124 OGDEN AVE
SUITE 104
AURORA, IL60504-7514
 Phone: 630-585-6100
 Fax: 630-585-6107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ELITE DENTAL SPECIALISTS · (Female)

NPI # 1942689062
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2015
Last updated 05/21/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # 019027694
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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