Organization
1ST FAMILY DENTAL & ORTHO CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA BELKIC (COO)
(773) 340-8318
Entity
Organization
Contact information
Practice address
201 E KENSINGTON RD, MT PROSPECT, IL 60056-1223
(847) 715-7888
Mailing address
201 E KENSINGTON RD, MT PROSPECT, IL 60056-1223
(847) 715-7888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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