Salud Family Dental | |
7714 S Cicero Ave Burbank IL 60459-1583 | |
(708) 636-3368 | |
(708) 636-7109 |
Full Name | Salud Family Dental |
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Speciality | Dentist |
Location | 7714 S Cicero Ave, Burbank, Illinois |
Authorized Official Name and Position | Asim M Ansari (PRESIDENT) |
Authorized Official Contact | 6302549114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Salud Family Dental 7714 S Cicero Ave Burbank IL 60459-1583 Ph: (708) 636-3368 | Salud Family Dental 7714 S Cicero Ave Burbank IL 60459-1583 Ph: (708) 636-3368 |
NPI Number | 1063887404 |
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Provider Enumeration Date | 12/10/2015 |
Last Update Date | 12/10/2015 |
Identifier | Type | State | Issuer |
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1063887404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019.028486 (Illinois) | Primary |
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