Organization
MOBILE DENTAL CARE OF ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK CHARLES CAMARDA JR. (MANAGER)
(708) 744-9188
Entity
Organization
Contact information
Practice address
3716 217TH ST, MATTESON, IL 60443-3703
(773) 329-4450
Mailing address
10 S RIVERSIDE PLZ, 19 EAST, CHICAGO, IL 60606-3728
(773) 329-4450
(773) 329-4454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
06/30/2014
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