Suburban Family Dental
NPI #1295978104 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1295978104
- Entity Type
- Organization
- Organization Name
- Suburban Family Dental
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 8, 2009
- Last Updated
- Apr 8, 2009
Practice Location
- Address
- 645 W GOLF RD
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-2462
- Phone
- (847) 640-0778
Authorized Official
- Name
- MARY MILLER
- Title
- OFFICE MANAGER
- Phone
- (847) 640-0778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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