| Family Care Gentle Dental Ctr, P.c. | |
|
11606 S. Western Avenue Chicago IL 60643 | |
| (773) 233-0155 | |
| (773) 233-9941 |
| Full Name | Family Care Gentle Dental Ctr, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 11606 S. Western Avenue, Chicago, Illinois |
| Authorized Official Name and Position | Marian Brinker (DENTIST & OWNER) |
| Authorized Official Contact | 7732330155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Gentle Dental Ctr, P.c. 11606 S. Western Avenue Chicago IL 60643 Ph: (773) 233-0155 | Family Care Gentle Dental Ctr, P.c. 11606 S. Western Avenue Chicago IL 60643 Ph: (773) 233-0155 |
| NPI Number | 1609990860 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609990860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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