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Search › Illinois › Orthodontics and Dentofacial Orthopedics Dentistry

Clay Vanderwall, DDS

NPI 1962694737 · on the registry since 2007

Practice

Address
406 W Boughton Rd
Suite B
Bolingbrook, IL 60440
Phone
(630) 759-8940
Fax
(630) 759-9392
Clinicians at this address
9

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois