| Olive Family Dental Llc | |
|
120 W North Ave Northlake IL 60164-2317 | |
| (708) 498-0050 | |
| (708) 498-0047 |
| Full Name | Olive Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 W North Ave, Northlake, Illinois |
| Authorized Official Name and Position | Samra Hussain (DMD) |
| Authorized Official Contact | 6023343950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Family Dental Llc 120 W North Ave Northlake IL 60164-2317 Ph: (708) 498-0050 | Olive Family Dental Llc 120 W North Ave Northlake IL 60164-2317 Ph: (708) 498-0050 |
| NPI Number | 1881306660 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881306660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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