| Fairview Dental Care Pc | |
|
6317 Fairview Avenue Suite #6 Westmont IL 60559 | |
| (630) 852-5353 | |
| (630) 968-0958 |
| Full Name | Fairview Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6317 Fairview Avenue, Westmont, Illinois |
| Authorized Official Name and Position | Thomas William Brzostowski (PRESIDENT) |
| Authorized Official Contact | 6308525353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Dental Care Pc 6317 Fairview Avenue Suite #6 Westmont IL 60559 Ph: (630) 852-5353 | Fairview Dental Care Pc 6317 Fairview Avenue Suite #6 Westmont IL 60559 Ph: (630) 852-5353 |
| NPI Number | 1598850406 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598850406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021165 (Illinois) | Primary |
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