Dexter Dental 2 LLC
Dentist in Elgin, IL. Organization (NPI-2).
NPI number1780967828
StatusActive
Last updated in NPPESSep 26, 2011
Details
- NPI
- 1780967828
- Entity type
- Organization (NPI-2)
- Legal business name
- Dexter Dental 2 LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2011
- Last updated
- Sep 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019026920 | IL | Yes |
Other names
- Familia Dental (Doing Business As)
Practice location
47 Clock Tower PlzElgin, IL 60120-7800
Phone 888-988-4066 · Fax 847-496-7202
Mailing address
2050 E Algonquin RdSuite 610
Schaumburg, IL 60173-4144
Phone 888-988-4066 · Fax 847-496-7202
Authorized official
Koushan H Azad
President
8889884066
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