Organization · NPI-2

1st Family Dental INC

Dentist · Chicago, IL

NPI number1730363094
StatusActive
Last updated in NPPESJan 24, 2020

Details

NPI
1730363094
Entity type
Organization (NPI-2)
Legal business name
1st Family Dental INC
Organization subpart
No
Enumeration date
Dec 21, 2007
Certification date
Jan 24, 2020
Last updated
Jan 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019023616ILYes

Other names

  • 1st Family Dental Of Albany Park (Doing Business As)

Practice location

4901 N Kedzie Ave
Chicago, IL 60625-5009

Phone 773-509-9200 · Fax 773-509-9247

Mailing address

4901 N Kedzie Ave
Chicago, IL 60625-5009

Phone 773-509-9200 · Fax 773-509-9247

Other practice locations

4941 N Kedzie Ave
Chicago, IL 60625-5009

Phone 773-509-9200 · Fax 773-509-9247

701 W. 11th Street
Chicago, IL 60628

Phone 773-995-1234

Authorized official

Vesna Belkic
General Manager
7733408318

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