Organization
FAMILY DENTAL CARE OF BELVIDERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZIN YOUSEF (DENTIST)
(815) 544-3426
Entity
Organization
Contact information
Practice address
860 BIESTER DR, SUITE 102, BELVIDERE, IL 61008-4053
(815) 544-3426
(815) 544-3428
Mailing address
860 BIESTER DR, SUITE 102, BELVIDERE, IL 61008-4053
(815) 544-3426
(815) 544-3428
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
019-023722
IL
1223G0001X
General Practice Dentistry
Primary
019-023722
IL
1223P0221X
Pediatric Dentistry
019-023722
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019-023722
IL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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