Organization
KENDALL FAMILY DENTAL
Active
Other names
Worth Palos Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D WASOWICZ DDS (PRESIDENT/ DENTIST)
(708) 974-1319
Entity
Organization
Contact information
Practice address
7630 W 111TH ST, PALOS HILLS, IL 60465-2302
(708) 974-1319
(708) 974-1671
Mailing address
7630 W 111TH ST, PALOS HILLS, IL 60465-2302
(708) 974-1319
(708) 974-1671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023137
IL
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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