| Andrew Dental Care, Ltd | |
|
11950 S Harlem Ave Suite 102 Palos Heights IL 60463-1150 | |
| (708) 429-1110 | |
| Not Available |
| Full Name | Andrew Dental Care, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 11950 S Harlem Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Marco Roselli (OWNER) |
| Authorized Official Contact | 7084291110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Dental Care, Ltd 11950 S Harlem Ave Suite 102 Palos Heights IL 60463-1150 Ph: (708) 429-1110 | Andrew Dental Care, Ltd 11950 S Harlem Ave Suite 102 Palos Heights IL 60463-1150 Ph: (708) 429-1110 |
| NPI Number | 1164730222 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164730222 | NPI | - | NPPES |
| 0190022202 | Other | IL | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022202 (Illinois) | Primary |
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