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Organization
CRESTWOOD DENTAL CARE PC
Active
Organization
CRESTWOOD DENTAL CARE PC
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ALEMIS DDS (PRESIDENT)
(773) 978-7801
Entity
Organization
Contact information
Practice address
14301 CICERO AVE, CRESTWOOD, IL 60445-2549
(708) 388-4301
Mailing address
14301 CICERO AVE, CRESTWOOD, IL 60445-2549
(708) 388-4301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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