Organization
INTERNATIONAL DENTAL OF OAK LAWN
Active
Other names
International Dental of Oak Lawn
Organization subpart
No
Provider details
NPI number
Authorized official
NADAUNIA PEACHER (OFFICE MANAGER)
(708) 634-3315
Entity
Organization
Contact information
Practice address
9539 S CICERO AVE, OAK LAWN, IL 60453
(815) 730-1570
Mailing address
9539 S CICERO AVE, OAK LAWN, IL 60453-3136
(708) 634-3315
(708) 634-3355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
06/14/2018
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