Organization
1ST FAMILY DENTAL OF BURR RIDGE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VESNA BELKIC (COO)
(773) 340-8318
Entity
Organization
Contact information
Practice address
410 VILLAGE CENTER DR, BURR RIDGE, IL 60527-4513
(630) 323-9550
(630) 323-9549
Mailing address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 728-0210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023616
IL
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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