Organization
BERWYN FAMILY DENTAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTINA CO D.D.S. (PRESIDENT)
(630) 363-4379
Entity
Organization
Contact information
Practice address
7001 W OGDEN AVENUE, BERWYN, IL 60402-3652
(708) 749-2419
(708) 749-2429
Mailing address
7001 W OGDEN AVENUE, BERWYN, IL 60402-3652
(708) 749-2419
(708) 749-2429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-022522
IL
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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