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Organization

DENTAL CORPORATE USA

Active
Other names
1st Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
VESNA BELKIC (CHIEF OPERATING OFFICER)
(773) 340-8318
Entity
Organization

Contact information

Practice address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 340-8318
Mailing address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 728-5333

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020013398
IL

Other

Enumeration date
03/21/2014
Last updated
03/21/2014
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