Organization
ANDREW DENTAL CARE, LTD
Active
Parent organization
ANDREW DENTAL CARE, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDREW DENTAL CARE, LTD
Authorized official
DR. MARCO ROSELLI (OWNER)
(708) 429-1110
Entity
Organization
Contact information
Practice address
11950 S HARLEM AVE, SUITE 102, PALOS HEIGHTS, IL 60463-1150
(708) 429-1110
Mailing address
11950 S HARLEM AVE, SUITE 102, PALOS HEIGHTS, IL 60463-1150
(708) 429-1110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190022202
DENTIST
IL
Enumeration date
09/22/2010
Last updated
09/22/2010
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