Family Dental Care Of Belvidere
Dentist, General Practice in Belvidere, IL. Organization (NPI-2).
NPI number1922547546
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1922547546
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Dental Care Of Belvidere
- Organization subpart
- No
- Enumeration date
- Feb 15, 2017
- Last updated
- Feb 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-023722 | IL | Yes |
| 1223E0200X | Dentist, Endodontics | 019-023722 | IL | |
| 1223P0221X | Dentist, Pediatric Dentistry | 019-023722 | IL | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 019-023722 | IL |
Practice location
860 Biester DrSuite 102
Belvidere, IL 61008-4053
Phone 815-544-3426 · Fax 815-544-3428
Mailing address
860 Biester DrSuite 102
Belvidere, IL 61008-4053
Phone 815-544-3426 · Fax 815-544-3428
Authorized official
Farzin Yousef
Dentist
8155443426
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