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Organization

AMERICAN FAMILY DENTAL CARE P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SETHURAMA MUTHURAMASWAMI DDS (PRESIDENT)
(708) 547-1100
Entity
Organization

Contact information

Practice address
4209.ST.CHARLES ROAD, BELLWOOD, IL 60104
(708) 547-1100
(708) 547-1149
Mailing address
4209.ST.CHARLES ROAD, BELLWOOD, IL 60104
(708) 547-1100
(708) 547-1149

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003292
IL
Enumeration date
06/04/2007
Last updated
03/19/2008
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