Fairview Dental Care PC

NPI #1598850406 in Westmont, Illinois

Provider Information

NPI Number: 1598850406
Entity Type: Organization
Organization Name: Fairview Dental Care PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2008

Practice Location

Address: 6317 FAIRVIEW AVENUE
Address 2: SUITE #6
City: Westmont
State: Illinois
ZIP Code: 60559
Phone: (630) 852-5353

Authorized Official

Name: DR. THOMAS WILLIAM BRZOSTOWSKI, DDS
Title: PRESIDENT
Phone: (630) 852-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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