| Global Facial Aesthetics Pc | |
|
404 Lathrop Ave River Forest IL 60305-1810 | |
| (708) 366-8909 | |
| Not Available |
| Full Name | Global Facial Aesthetics Pc |
|---|---|
| Speciality | Dentist |
| Location | 404 Lathrop Ave, River Forest, Illinois |
| Authorized Official Name and Position | Gary F Alder (OWNER) |
| Authorized Official Contact | 7083668909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Facial Aesthetics Pc 404 Lathrop Ave River Forest IL 60305-1810 Ph: (708) 366-8909 | Global Facial Aesthetics Pc 404 Lathrop Ave River Forest IL 60305-1810 Ph: (708) 366-8909 |
| NPI Number | 1659753481 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659753481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019014782 (Illinois) | Secondary |
| 122300000X | Dentist | 019015912 (Illinois) | Primary |
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Ovation Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Madison St, Suite #1, River Forest, IL 60305 Phone: 708-689-0419 Fax: 708-689-0687 | |
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