Organization
SEMPER DENTAL CENTER LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HUGO RENDON JR. DDS (PRESIDENT)
(630) 991-0437
Entity
Organization
Contact information
Practice address
9714 FRANKLIN AVE, FRANKLIN PARK, IL 60131-1787
(773) 732-3408
(773) 925-9289
Mailing address
9714 FRANKLIN AVE, FRANKLIN PARK, IL 60131-1787
(773) 732-3408
(773) 925-9289
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9219530
—
IL
Enumeration date
08/04/2009
Last updated
08/04/2009
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