| Forest Park Dental Associates Ltd | |
|
7742 Madison St Forest Park IL 60130-1404 | |
| (708) 209-1900 | |
| (708) 209-1973 |
| Full Name | Forest Park Dental Associates Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7742 Madison St, Forest Park, Illinois |
| Authorized Official Name and Position | Rashmikant Vora (PRESIDENT) |
| Authorized Official Contact | 7082091900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Park Dental Associates Ltd 7742 Madison St Forest Park IL 60130-1404 Ph: (708) 209-1900 | Forest Park Dental Associates Ltd 7742 Madison St Forest Park IL 60130-1404 Ph: (708) 209-1900 |
| NPI Number | 1891040176 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891040176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019017346 (Illinois) | Primary |
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