NPI 1003049537

Renew Orthodontics

Organisation Dental Clinic/Center McHenry, IL

Practice location

Address: 2302 N Richmond Rd, McHenry, IL 60051-5403
Phone: (815) 363-8474
Fax: (815) 363-0246

Authorised official

Name: Daryl Ashbeck
Title: Orthodontist
Phone: (815) 363-8474

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 019024635 (IL)

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1003049537
Entity type: Organization
NPI issued: 1 Sep 2009
Record last updated: 1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.