Minalt & Wojcicki Dental | |
1 Tiffany Pt Ste 209 Bloomingdale IL 60108-2916 | |
(630) 671-0700 | |
(630) 671-0546 |
Full Name | Minalt & Wojcicki Dental |
---|---|
Speciality | Dentist |
Location | 1 Tiffany Pt Ste 209, Bloomingdale, Illinois |
Authorized Official Name and Position | Alexander Reznikov (PRESIDENT) |
Authorized Official Contact | 8478773570 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Minalt & Wojcicki Dental 1 Tiffany Pt Ste 209 Bloomingdale IL 60108-2916 Ph: (630) 671-0700 | Minalt & Wojcicki Dental 1 Tiffany Pt Ste 209 Bloomingdale IL 60108-2916 Ph: (630) 671-0700 |
NPI Number | 1043750714 |
---|---|
Provider Enumeration Date | 03/01/2017 |
Last Update Date | 03/01/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043750714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019029473 (Illinois) | Primary |
1223P0300X | Dentist - Periodontics | 019023898 (Illinois) | Secondary |
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