Organization
ILLINOIS DENTAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR FEDIN DDS (PRESIDENT)
(708) 246-1666
Entity
Organization
Contact information
Practice address
5600 WOLF RD STE 130, WESTERN SPRINGS, IL 60558-2268
(708) 246-1666
(708) 246-1486
Mailing address
5600 WOLF RD STE 130, WESTERN SPRINGS, IL 60558-2268
(708) 246-1666
(708) 246-1486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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