1st Family Dental Of Lincoln
Dentist in Chicago, IL. Organization (NPI-2).
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
5206 N Lincoln AveChicago, IL 60625-2406
Phone 773-728-5333 · Fax 773-739-4300
Mailing address
5206 N Lincoln AveChicago, IL 60625-2406
Phone 773-561-5106
Authorized official
Vesna Belkic
General Manager
7737285333
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