| Dental 360 Berwyn Llc | |
|
7039 Roosevelt Rd Berwyn IL 60402-1059 | |
| (708) 956-7759 | |
| (708) 637-4297 |
| Full Name | Dental 360 Berwyn Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7039 Roosevelt Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Syed Rehman (DENTIST) |
| Authorized Official Contact | 7089567759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Berwyn Llc 7039 Roosevelt Rd Berwyn IL 60402-1059 Ph: (708) 956-7759 | Dental 360 Berwyn Llc 7039 Roosevelt Rd Berwyn IL 60402-1059 Ph: (708) 956-7759 |
| NPI Number | 1447801741 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 05/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447801741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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