Organization
MARIO SERRANO DDS & SARA VAFA DMD P.C.
Active
Other names
Morton Family Dental of Berwyn
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO SERRANO DDS (DENTIST)
(708) 512-4688
Entity
Organization
Contact information
Practice address
6931 CERMAK RD, BERWYN, IL 60402-2101
(708) 512-4688
Mailing address
6931 CERMAK RD, BERWYN, IL 60402-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027920
IL
1223G0001X
General Practice Dentistry
019029219
IL
1223G0001X
General Practice Dentistry
019030562
IL
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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