Organization
FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPYRO VALLIANATOS (DENTIST)
(773) 978-5828
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
19025081
IL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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