Westchester Family Dental Ltd
NPI #1356411136 in Westchester, Illinois
Provider Information
- NPI Number
- 1356411136
- Entity Type
- Organization
- Organization Name
- Westchester Family Dental Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Jul 24, 2018
Practice Location
- Address
- 4 WESTBROOK CORPORATE CENTER STE 102
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60104
- Phone
- (708) 562-5621
Authorized Official
- Name
- DR. RAFFAELE C AMBROSINO, D.D.S.
- Title
- PRESIDENT
- Phone
- (708) 562-5621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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