Associates For Family Dentistry Chicago Ltd
Dentist, General Practice in Bloomingdale, IL. Organization (NPI-2).
NPI number1245435239
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245435239
- Entity type
- Organization (NPI-2)
- Legal business name
- Associates For Family Dentistry Chicago Ltd
- Organization subpart
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019015175 | IL | Yes |
Practice location
183 S Bloomingdale RdSuite 3
Bloomingdale, IL 60108-1466
Phone 630-893-8636 · Fax 630-893-4962
Mailing address
183 S Bloomingdale RdSuite 3
Bloomingdale, IL 60108-1466
Phone 630-893-8636 · Fax 630-893-4962
Authorized official
Thomas J Wodniak
President Dentist
6308938636
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