Familia Dental LLC

NPI #1326288275 in Addison, Illinois

Provider Information

NPI Number
1326288275
Entity Type
Organization
Organization Name
Familia Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 4, 2009
Last Updated
Jun 25, 2021

Practice Location

Address
200 W. LAKE ST.
ZIP Code
60101-2513
Phone
(630) 628-3115

Authorized Official

Name
MR. BRANDON ALEXANDER TAYLOR, CPCS
Title
CREDENTIALING & PAYER RELATIONS MAN
Phone
(847) 453-7396

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - DentalDental

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