Organization
MY FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CERTEZA (PRACTICE MANAGER)
(630) 456-3832
Entity
Organization
Contact information
Practice address
6223 DEMPSTER ST, MORTON GROVE, IL 60053-2818
(224) 534-7123
(224) 534-7214
Mailing address
6223 DEMPSTER ST, MORTON GROVE, IL 60053-2818
(224) 534-7123
(224) 534-7214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018019
IL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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