Advanced Family Dental, P.c. | |
2241 Theodore St Cresthill IL 60403-1881 | |
(815) 741-1700 | |
(815) 741-8511 |
Full Name | Advanced Family Dental, P.c. |
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Speciality | Dentist |
Location | 2241 Theodore St, Cresthill, 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 |
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Advanced Family Dental, P.c. 2241 Theodore St Cresthill IL 60403-1881 Ph: (815) 741-1700 | Advanced Family Dental, P.c. 2241 Theodore St Cresthill IL 60403-1881 Ph: (815) 741-1700 |
NPI Number | 1760669642 |
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Provider Enumeration Date | 01/23/2008 |
Last Update Date | 01/23/2008 |
Identifier | Type | State | Issuer |
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1760669642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (Illinois) | Primary |