Organization
FAMILY CARE DENTAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MKRDICHIAN DDS (DENTIST/OWNER)
(773) 465-2922
Entity
Organization
Contact information
Practice address
3143 W DEVON AVE, CHICAGO, IL 60659-1424
(773) 465-2922
(773) 465-2998
Mailing address
3143 W DEVON AVE, CHICAGO, IL 60659-1424
(773) 465-2922
(773) 465-2998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018642
IL
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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