ST. CHARLES FAMILY DENTRISTRY L.T.D.

ST CHARLES, IL
NPI1114290988
Entity TypeOrganization
Authorized ContactEDMUND A LIPSKIS
Owner
630-377-3131
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Additional Taxonomies1223P0106X Dentist Oral and Maxillofacial Pathology
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
207QS1201X Family Medicine Sleep Medicine
207RS0012X Internal Medicine Sleep Medicine
Enumeration Date2012-02-09
Last Update Date2012-02-09
Business Address
ST. CHARLES FAMILY DENTRISTRY L.T.D.
516 E MAIN ST
ST CHARLES, IL 60174-2133
Phone number: 630-377-3131
Mailing Address
ST. CHARLES FAMILY DENTRISTRY L.T.D.
516 E MAIN ST
ST CHARLES, IL 60174-2133
Phone number: 630-377-3131