Organization
AUSTIN FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE WATSON AUSTIN DDS (DENTIST)
(773) 233-0600
Entity
Organization
Contact information
Practice address
1532 W 99TH ST, CHICAGO, IL 60643-2174
(773) 233-0600
(773) 233-0689
Mailing address
1532 W 99TH ST, CHICAGO, IL 60643-2174
(773) 233-0600
(773) 233-0689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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