Organization
1ST FAMILY DENTAL OF ADDISON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA BELKIC (COO)
(773) 340-8318
Entity
Organization
Contact information
Practice address
120 E LAKE ST, ADDISON, IL 60101-2821
(630) 833-8888
(630) 833-8880
Mailing address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 340-8318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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