Organization
CLINICA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI AQEL DDS (DENTIST)
(708) 956-7516
Entity
Organization
Contact information
Practice address
6301B W CERMAK RD, BERWYN, IL 60402
(708) 956-7516
(708) 956-7517
Mailing address
6301B W CERMAK RD, BERWYN, IL 60402
(708) 956-7516
(708) 956-7517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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