Organization
OAK MILL FAMILY DENTAL
Active
Other names
Niles Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THEODORE ANAST DMD (OWNER/DENTAL)
(847) 965-4300
Entity
Organization
Contact information
Practice address
7900 N MILWAUKEE AVE, SUITE 2-30A, NILES, IL 60714-3159
(847) 965-4300
(866) 830-0746
Mailing address
7900 N MILWAUKEE AVE, SUITE 2-30A, NILES, IL 60714-3159
(847) 965-4300
(866) 830-0746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027804
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700031127
INDIVIDUAL NPI
IL
Enumeration date
06/20/2015
Last updated
06/20/2015
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