| Las Dental Center Ltd | |
|
425 E Irving Park Rd Wood Dale IL 60191-1639 | |
| (630) 595-2880 | |
| (630) 595-5992 |
| Full Name | Las Dental Center Ltd |
|---|---|
| Speciality | Dentist |
| Location | 425 E Irving Park Rd, Wood Dale, Illinois |
| Authorized Official Name and Position | Amee Shah (DENTIST) |
| Authorized Official Contact | 6305952880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Dental Center Ltd 425 E Irving Park Rd Wood Dale IL 60191-1639 Ph: (630) 595-2880 | Las Dental Center Ltd 425 E Irving Park Rd Wood Dale IL 60191-1639 Ph: (630) 595-2880 |
| NPI Number | 1588058127 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588058127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.027184 (Illinois) | Primary |
Donald C. Kellner Dds-wood Dale Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 North Wood Dale Rd, Suite A, Wood Dale, IL 60191 Phone: 630-860-9100 Fax: 630-787-0662 | |
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Timothy J. Kiczenski, D.d.s., Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 E Commercial St, Wood Dale, IL 60191 Phone: 630-766-2223 | |
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