Organization
FAMILY CARE GENTLE DENTAL CTR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAN BRINKER D.D.S. (DENTIST & OWNER)
(773) 233-0155
Entity
Organization
Contact information
Practice address
11606 S. WESTERN AVENUE, CHICAGO, IL 60643
(773) 233-0155
(773) 233-9941
Mailing address
11606 S. WESTERN AVENUE, CHICAGO, IL 60643
(773) 233-0155
(773) 233-9941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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