Familia Dental Wheeling LLC

NPI #1801022462 in Wheeling, Illinois

Provider Information

NPI Number
1801022462
Entity Type
Organization
Organization Name
Familia Dental Wheeling LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 9, 2009
Last Updated
Jun 25, 2021

Practice Location

Address
542 W. DUNDEE ROAD
ZIP Code
60090-3227
Phone
(847) 453-7396

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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