Organization · NPI-2

Andrew Dental Care, Ltd

Dentist · Palos Heights, IL

NPI number1164730222
StatusActive
Last updated in NPPESSep 22, 2010

Details

NPI
1164730222
Entity type
Organization (NPI-2)
Legal business name
Andrew Dental Care, Ltd
Organization subpart
Yes
Enumeration date
Sep 22, 2010
Last updated
Sep 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019022202ILYes

Practice location

11950 S Harlem Ave
Suite 102
Palos Heights, IL 60463-1150

Phone 708-429-1110

Mailing address

11950 S Harlem Ave
Suite 102
Palos Heights, IL 60463-1150

Phone 708-429-1110

Authorized official

Marco Roselli
Owner
7084291110

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