Organization
MELROSE DENTAL CENTER SERVICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS J ALBERTTIS D.D.S (ADMINISTRATOR)
(708) 345-6636
Entity
Organization
Contact information
Practice address
1908 W LAKE ST, MELROSE PARK, IL 60160-3728
(708) 345-6636
(708) 345-6671
Mailing address
1908 W LAKE ST, MELROSE PARK, IL 60160-3728
(708) 345-6636
(708) 345-6671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021046
IL
Other
Enumeration date
11/28/2006
Last updated
06/26/2008
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