Oak Ridge Family Dental LLC

NPI #1407084445 in Oak Lawn, Illinois

Provider Information

NPI Number: 1407084445
Entity Type: Organization
Organization Name: Oak Ridge Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jun 29, 2009
Last Updated: Jun 29, 2009

Practice Location

Address: 4445 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-7219
Phone: (708) 422-2224

Authorized Official

Name: DR. VICTORIA A PAVLETIC-VORDERER, D.D.S.
Title: DENTIST
Phone: (708) 422-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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