Individual provider · Type 1 NPI
Inna Sydorak
Orthodontics and Dentofacial Orthopedics Dentistry · La Grange Park, IL
Practice location
539 N La Grange Rd
La Grange Park, IL 60526-5647
Mailing address
2222 Fuller Ct Apt 1109
Ann Arbor, MI 48105-2392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 019031036 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
4 other providers at this address
- Webster Dental CareGeneral Practice Dentistry La Grange Park, IL NPI 1265707046
- Colton CannonDentist La Grange Park, IL NPI 1801590807
- Jona Tjeerdema, DMDStudent in an Organized Health Care Education/Training Program La Grange Park, IL NPI 1487571741
- Michael Kasper, DDSGeneral Practice Dentistry La Grange Park, IL NPI 1760554455
About NPI 1609302199
Inna Sydorak's National Provider Identifier is 1609302199, issued on May 3, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in La Grange Park, IL. The record was last updated on May 3, 2017.