Organization
ILLINOIS DENTAL ARTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD FEDIN D.D.S. (DENTIST PRESIDENT)
(708) 246-1666
Entity
Organization
Contact information
Practice address
5600 SOUTH WOLF ROAD, SUITE 130, WESTERN SPRINGS, IL 60558-2254
(708) 246-1666
Mailing address
5600 SOUTH WOLF ROAD, SUITE 130, WESTERN SPRINGS, IL 60558-2254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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