Organization
SALUD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM M ANSARI DDS (PRESIDENT)
(630) 254-9114
Entity
Organization
Contact information
Practice address
7714 S CICERO AVE, BURBANK, IL 60459-1583
(708) 636-3368
(708) 636-7109
Mailing address
7714 S CICERO AVE, BURBANK, IL 60459-1583
(708) 636-3368
(708) 636-7109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028486
IL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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