| NPI | 1053706481 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRUSELA F. VILLA Generalist/Assistant Bookkeeper 773-458-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021973) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |