Organization
FAMILY DENTAL ENTER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELI TUJAROVA (MANAGER)
(773) 262-4242
Entity
Organization
Contact information
Practice address
2710 W DEVON AVE. 3RD FLOOR, WHEELING, IL 60090
(773) 262-4242
(773) 262-4343
Mailing address
2710 W DEVON AVE. 3RD FLOOR, WHEELING, IL 60090
(773) 262-4242
(773) 262-4343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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