| Advanced Family Dental, P.c. | |
|
2241 Theodore St. Crest Hill IL 60403-1881 | |
| (815) 741-1700 | |
| (815) 741-8511 |
| Full Name | Advanced Family Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2241 Theodore St., Crest Hill, Illinois |
| Authorized Official Name and Position | David J. Rubis (OWNER) |
| Authorized Official Contact | 8157411700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dental, P.c. 2241 Theodore St Crest Hill IL 60435-1881 Ph: (815) 741-1700 | Advanced Family Dental, P.c. 2241 Theodore St. Crest Hill IL 60403-1881 Ph: (815) 741-1700 |
| NPI Number | 1275734865 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275734865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19016447 (Illinois) | Primary |
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