Organization
AUSTIN DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBEY C MCDONALD DDS (DENTIST)
(708) 386-1448
Entity
Organization
Contact information
Practice address
418 N AUSTIN BLVD, 2B, OAK PARK, IL 60302-2752
(708) 386-1448
(708) 386-8943
Mailing address
418 N AUSTIN BLVD, 2B, OAK PARK, IL 60302-2752
(708) 386-1448
(708) 386-8943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019012524
TX
Other
Enumeration date
02/28/2011
Last updated
03/10/2011
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