| Worth Palos Dentistry | |
|
7630 W 111th St Palos Hills IL 60465-2302 | |
| (708) 974-1319 | |
| (708) 974-1671 |
| Full Name | Worth Palos Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7630 W 111th St, Palos Hills, Illinois |
| Authorized Official Name and Position | Steven D Wasowicz (PRESIDENT/ DENTIST) |
| Authorized Official Contact | 7089741319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Worth Palos Dentistry 7630 W 111th St Palos Hills IL 60465-2302 Ph: (708) 974-1319 | Worth Palos Dentistry 7630 W 111th St Palos Hills IL 60465-2302 Ph: (708) 974-1319 |
| NPI Number | 1699036624 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699036624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023137 (Illinois) | Primary |
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