Organization
1ST FAMILY DENTAL OF WEST ROSELAND PC
Active
Other names
1st Family Dental of West Roseland
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA BELKIC (COO)
(630) 433-4962
Entity
Organization
Contact information
Practice address
701 W 111TH ST, CHICAGO, IL 60628-3902
(773) 995-1234
Mailing address
701 W 111TH ST, CHICAGO, IL 60628-3902
(773) 995-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
07/21/2022
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