Familia Dental Peoria 3 LLC
NPI #1386964526 in Peoria, Illinois
Provider Information
- NPI Number
- 1386964526
- Entity Type
- Organization
- Organization Name
- Familia Dental Peoria 3 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 10, 2010
- Last Updated
- Jun 10, 2010
Practice Location
Authorized Official
- Name
- DR. KOUSHAN H. AZAD, DMD
- Title
- PRESIDENT/OWNER
- Phone
- (888) 988-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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