| Austin Dental Center Llc | |
|
418 N Austin Blvd 2b Oak Park IL 60302-2752 | |
| (708) 386-1448 | |
| (708) 386-8943 |
| Full Name | Austin Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 418 N Austin Blvd, Oak Park, Illinois |
| Authorized Official Name and Position | Robey C Mcdonald (DENTIST) |
| Authorized Official Contact | 7083861448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dental Center Llc 418 N Austin Blvd 2b Oak Park IL 60302-2752 Ph: (708) 386-1448 | Austin Dental Center Llc 418 N Austin Blvd 2b Oak Park IL 60302-2752 Ph: (708) 386-1448 |
| NPI Number | 1992003933 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992003933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019012524 (Texas) | Primary |
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