Organization
FAMILY DENTAL CARE OF THE EAST SIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY VARVARESSO (EX DIRECTOR)
(773) 978-1231
Entity
Organization
Contact information
Practice address
10601 S AVENUE E, CHICAGO, IL 60617-6316
(773) 978-5828
Mailing address
10601 S AVENUE E, CHICAGO, IL 60617-6316
(773) 978-5828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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