Vvn Dental PC

NPI #1104112374 in Blue Island, Illinois

Provider Information

NPI Number: 1104112374
Entity Type: Organization
Organization Name: Vvn Dental PC
Primary Specialty: Dentist
Enumeration Date: Jun 25, 2011
Last Updated: Jun 25, 2011

Practice Location

Address: 12121 WESTERN AVE STE 3
City: Blue Island
State: Illinois
ZIP Code: 60406-1386
Phone: (708) 293-7773

Authorized Official

Name: DR. DIMITRI HARALAMPOPOULOS
Title: CO-OWNER
Phone: (847) 414-3309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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