Organization
FAMILY FIRST DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN PAUL THEODOSIS DDS (GENERAL DENTIST OWNER)
(630) 836-8995
Entity
Organization
Contact information
Practice address
28365 DAVIS PARKWAY, SUITE #206, WARRENVILLE, IL 60555
(630) 836-8995
(630) 836-8996
Mailing address
28365 DAVIS PKWY, SUITE #206, WARRENVILLE, IL 60555
(630) 836-8995
(630) 836-8996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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