| Everyone's Family Dental St. Charles Llc | |
|
1604 Visa Dr Unit #3 Normal IL 61761-2195 | |
| (773) 844-5283 | |
| Not Available |
| Full Name | Everyone's Family Dental St. Charles Llc |
|---|---|
| Speciality | Dentist |
| Location | 1604 Visa Dr, Normal, Illinois |
| Authorized Official Name and Position | Jubrail Sweis (OWNER) |
| Authorized Official Contact | 7738445283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everyone's Family Dental St. Charles Llc 1400 Lincoln Hwy Unit B St Charles IL 60174-3580 Ph: (773) 844-5283 | Everyone's Family Dental St. Charles Llc 1604 Visa Dr Unit #3 Normal IL 61761-2195 Ph: (773) 844-5283 |
| NPI Number | 1235557109 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235557109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028603 (Illinois) | Primary |
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Everyone's Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Visa Dr, Suite 3, Normal, IL 61761 Phone: 773-844-5283 |