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Organization
PROSPECT HEIGHTS FAMILY DENTAL
Active
Organization
PROSPECT HEIGHTS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA AYNGORN (OWNER)
(847) 229-7988
Entity
Organization
Contact information
Practice address
846 N ELMHURST RD, PROSPECT HEIGHTS, IL 60070-1132
(847) 229-7988
(847) 229-1985
Mailing address
846 N ELMHURST RD, PROSPECT HEIGHTS, IL 60070-1132
(847) 229-7988
(847) 229-1985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01924722
IL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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