Organization
CRESTWOOD DENTAL CARE PC
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ALEMIS DDS (PRESIDENT)
(773) 978-7801
Entity
Organization
Contact information
Practice address
14301 CICERO AVE, CRESTWOOD, IL 60445-2549
(708) 388-4301
Mailing address
14301 CICERO AVE, CRESTWOOD, IL 60445-2549
(708) 388-4301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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