| Familia Dental Ec Llc | |
|
4624a Magoun Avenue East Chicago IN 46312 | |
| (888) 988-4066 | |
| (847) 496-7603 |
| Full Name | Familia Dental Ec Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4624a Magoun Avenue, East Chicago, Indiana |
| 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 Ec Llc 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Familia Dental Ec Llc 4624a Magoun Avenue East Chicago IN 46312 Ph: (888) 988-4066 |
| NPI Number | 1992116305 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992116305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Starbright Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 W Chicago Ave, East Chicago, IN 46312 Phone: 708-359-2068 | |
Pippin Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 678-904-5665 Fax: 678-904-5666 |