| NPI | 1114550043 |
|---|---|
| Doing Business As | 1ST FAMILY DENTAL OF ALGONQUIN |
| Entity Type | Organization |
| Authorized Contact | VESNA BELKIC COO 773-340-8318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |