Familia Dental Wheeling 3 LLC

NPI #1144587882 in Wheeling, Illinois

Provider Information

NPI Number: 1144587882
Entity Type: Organization
Organization Name: Familia Dental Wheeling 3 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 19, 2012
Last Updated: Apr 19, 2012

Practice Location

Address: 542 W DUNDEE RD
Address 2: SUITE B
City: Wheeling
State: Illinois
ZIP Code: 60090-3227
Phone: (888) 988-4066

Authorized Official

Name: DR. KOUSHAN AZAD, DMD
Title: OWNER
Phone: (888) 988-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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