| Family Dental Care Park Ridge | |
|
111 S Washington Ave Suite 202 Park Ridge IL 60068-4203 | |
| (847) 692-6800 | |
| (847) 692-6336 |
| Full Name | Family Dental Care Park Ridge |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 S Washington Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Matthew Demas (OWNER) |
| Authorized Official Contact | 8476926800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Park Ridge 111 S Washington Ave Suite 202 Park Ridge IL 60068-4203 Ph: (847) 692-6800 | Family Dental Care Park Ridge 111 S Washington Ave Suite 202 Park Ridge IL 60068-4203 Ph: (847) 692-6800 |
| NPI Number | 1972059368 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 08/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972059368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028260 (Illinois) | Primary |
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