Familia Dental | |
200 W Lake St Addison IL 60101-2513 | |
(888) 988-4066 | |
(847) 496-7202 |
Full Name | Familia Dental |
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Speciality | Dentist - General Practice |
Location | 200 W Lake St, Addison, Illinois |
Authorized Official Name and Position | Koushan Azad (PRESIDENT) |
Authorized Official Contact | 8889884066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Familia Dental 2050 E Algonquin Rd 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Familia Dental 200 W Lake St Addison IL 60101-2513 Ph: (888) 988-4066 |
NPI Number | 1699049221 |
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Provider Enumeration Date | 02/29/2012 |
Last Update Date | 02/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699049221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019026920 (Illinois) | Primary |
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