Organization
BRUSH FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA J ROSEN DMD, MS (OWNER/DENTIST)
(312) 566-8845
Entity
Organization
Contact information
Practice address
5100 N WESTERN AVE, CHICAGO, IL 60625-2513
(312) 566-8845
Mailing address
5223 N NASHVILLE AVE, CHICAGO, IL 60656-2232
(312) 566-8845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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