| Freeport Family Dental, Llc | |
|
981 W South St Freeport IL 61032-6778 | |
| (815) 235-5174 | |
| Not Available |
| Full Name | Freeport Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 981 W South St, Freeport, Illinois |
| Authorized Official Name and Position | Mahmoud Salameh (MANAGER) |
| Authorized Official Contact | 7085430089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Family Dental, Llc 981 W South St Freeport IL 61032-6778 Ph: () - | Freeport Family Dental, Llc 981 W South St Freeport IL 61032-6778 Ph: (815) 235-5174 |
| NPI Number | 1013667534 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 03/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013667534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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