Organization
1ST FAMILY DENTAL OF PULASKI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA BELKIC (COO)
(773) 340-8318
Entity
Organization
Contact information
Practice address
4707 N PULASKI RD, CHICAGO, IL 60630-4312
(773) 279-9977
Mailing address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 340-8318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023616
IL
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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