Organization
FAIRVIEW DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM BRZOSTOWSKI DDS (PRESIDENT)
(630) 852-5353
Entity
Organization
Contact information
Practice address
6317 FAIRVIEW AVENUE, SUITE #6, WESTMONT, IL 60559
(630) 852-5353
(630) 968-0958
Mailing address
6317 FAIRVIEW AVENUE, SUITE #6, WESTMONT, IL 60559
(630) 852-5353
(630) 968-0958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021165
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2008
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