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14D0416944 CLIA NUMBER - CENTRAL DUPAGE PHYSICIANS GROUP DR ROY J BETTI

Laboratory Demographics

CLIA Number: 14D0416944

Facility Name: CENTRAL DUPAGE PHYSICIANS GROUP DR ROY J BETTI

Facility Address:
2001 GARY AVE, STE 100
WHEATON, IL
ZIP 60187
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Facility Phone Number: 630 653-5115

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1457421166

Taxonomy: 1223X0400X - Dentist
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

CLIA Record

Field Name Field Value
CLIA Number 14D0416944
LAB Type Physician Office
Facility Name CENTRAL DUPAGE PHYSICIANS GROUP DR ROY J BETTI
Street 2001 GARY AVE, STE 100
City WHEATON
State IL
ZIP 60187
Phone 630 653-5115
CertificateType 4
CertificateEffectiveDate 6/2/2023
CertificateExpirationDate 6/1/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024