Advanced Family Dental Of Lombard Pc | |
845 S Main St Lombard IL 60148-3350 | |
(630) 620-1980 | |
(815) 483-2298 |
Full Name | Advanced Family Dental Of Lombard Pc |
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Speciality | Dentist |
Location | 845 S Main St, Lombard, Illinois |
Authorized Official Name and Position | David J Rubis (PRESIDENT) |
Authorized Official Contact | 6306201980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Family Dental Of Lombard Pc 845 S Main St Lombard IL 60148-3350 Ph: (630) 620-1980 | Advanced Family Dental Of Lombard Pc 845 S Main St Lombard IL 60148-3350 Ph: (630) 620-1980 |
NPI Number | 1972839553 |
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Provider Enumeration Date | 11/02/2009 |
Last Update Date | 11/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972839553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019016447 (Illinois) | Primary |
122300000X | Dentist | 019026816 (Illinois) | Secondary |
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