Organization
FAITH DENTAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J FAITH (OWNER)
(630) 837-4080
Entity
Organization
Contact information
Practice address
1645 IRVING PARK RD, HANOVER PARK, IL 60133-3382
(630) 837-4080
Mailing address
1645 IRVING PARK RD, HANOVER PARK, IL 60133-3382
(630) 837-4080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024522
IL
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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