Organization
OAK FOREST FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY RAE PARAGAS D.D.S. (PRESIDENT/DENTIST)
(708) 687-0100
Entity
Organization
Contact information
Practice address
15544 CICERO AVE, OAK FOREST, IL 60452-3602
(708) 687-0100
(807) 687-9313
Mailing address
15544 CICERO AVE, OAK FOREST, IL 60452-3602
(708) 687-0100
(807) 687-9313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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