Provider Demographics
NPI:1902016413
Name:IVONE ARELLLANO BERON, DDS, MS, LTD
Entity Type:Organization
Organization Name:IVONE ARELLLANO BERON, DDS, MS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IVONE
Authorized Official - Middle Name:ARELLANO
Authorized Official - Last Name:BERON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-820-2600
Mailing Address - Street 1:PO BOX 6174
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60598-0174
Mailing Address - Country:US
Mailing Address - Phone:630-820-2600
Mailing Address - Fax:630-585-5413
Practice Address - Street 1:195 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505
Practice Address - Country:US
Practice Address - Phone:630-820-2600
Practice Address - Fax:630-585-5413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty