Organization
ILLINOIS IMPLANT DENTISTRY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F ORRICO JR. DDS (OWNER)
(708) 452-6655
Entity
Organization
Contact information
Practice address
7800 W NORTH AVE, ELMWOOD PARK, IL 60707
(708) 452-6655
(708) 452-6673
Mailing address
7800 W NORTH AVE, ELMWOOD PARK, IL 60707
(708) 452-6655
(708) 452-6673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-0016677
IL
Other
Enumeration date
08/31/2006
Last updated
07/07/2008
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