| Westchester Family Dental Ltd | |
|
4 Westbrook Corporate Center Ste 102 Westchester IL 60104 | |
| (708) 562-5621 | |
| (708) 562-7657 |
| Full Name | Westchester Family Dental Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Westbrook Corporate Center Ste 102, Westchester, Illinois |
| Authorized Official Name and Position | Raffaele C Ambrosino (PRESIDENT) |
| Authorized Official Contact | 7085625621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westchester Family Dental Ltd 4 Westbrook Corporate Center Ste 102 Westchester IL 60104 Ph: (708) 562-5621 | Westchester Family Dental Ltd 4 Westbrook Corporate Center Ste 102 Westchester IL 60104 Ph: (708) 562-5621 |
| NPI Number | 1356411136 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356411136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-025052 (Illinois) | Primary |
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