Familia Dental Wheeling 3 LLC
Dentist, General Practice in Wheeling, IL. Organization (NPI-2).
NPI number1144587882
StatusActive
Last updated in NPPESApr 19, 2012
Details
- NPI
- 1144587882
- Entity type
- Organization (NPI-2)
- Legal business name
- Familia Dental Wheeling 3 LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2012
- Last updated
- Apr 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | IL | Yes |
Practice location
542 W Dundee RdSuite B
Wheeling, IL 60090-3227
Phone 888-988-4066 · Fax 847-496-7202
Mailing address
2050 E Algonquin RdSuite 610
Schaumburg, IL 60173-4144
Phone 888-988-4066 · Fax 847-496-7202
Authorized official
Koushan Azad
Owner
8889884066
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