Organization · NPI-2

1st Family Dental Of Lincoln

Dentist · Chicago, IL

NPI number1740464874
StatusActive
Last updated in NPPESDec 26, 2007

Details

NPI
1740464874
Entity type
Organization (NPI-2)
Legal business name
1st Family Dental Of Lincoln
Organization subpart
No
Enumeration date
Dec 26, 2007
Last updated
Dec 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

5206 N Lincoln Ave
Chicago, IL 60625-2406

Phone 773-728-5333 · Fax 773-739-4300

Mailing address

5206 N Lincoln Ave
Chicago, IL 60625-2406

Phone 773-561-5106

Authorized official

Vesna Belkic
General Manager
7737285333

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