Crestwood Dental Care Pc | |
14301 Cicero Ave Crestwood IL 60445-2549 | |
(708) 388-4301 | |
Not Available |
Full Name | Crestwood Dental Care Pc |
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Speciality | Clinic/center - Dental |
Location | 14301 Cicero Ave, Crestwood, Illinois |
Authorized Official Name and Position | Alexander Alemis (PRESIDENT) |
Authorized Official Contact | 7739787801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crestwood Dental Care Pc 14301 Cicero Ave Crestwood IL 60445-2549 Ph: (708) 388-4301 | Crestwood Dental Care Pc 14301 Cicero Ave Crestwood IL 60445-2549 Ph: (708) 388-4301 |
NPI Number | 1972151694 |
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Provider Enumeration Date | 08/27/2019 |
Last Update Date | 08/27/2019 |
Identifier | Type | State | Issuer |
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1972151694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dentalworks Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4839 West Calsag Rd, #310, Crestwood, IL 60445 Phone: 708-597-9055 Fax: 216-584-1062 | |
Crestwood Dental And Tmj Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13549 Cicero Ave, Crestwood, IL 60445 Phone: 708-388-3200 |