Russell P Umbricht DDS Ltd
NPI #1922265578 in River Forest, Illinois
Provider Information
- NPI Number
- 1922265578
- Entity Type
- Organization
- Organization Name
- Russell P Umbricht DDS Ltd
- Primary Specialty
- Dentist
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 404 LATHROP AVE
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-1810
- Phone
- (708) 366-8909
Authorized Official
- Name
- DR. RUSSELL PAUL UMBRICHT
- Title
- PRESIDENT OFFICER
- Phone
- (708) 366-8907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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