INDEPENDENCE FAMILY DENTAL

CHICAGO, IL
NPI1164406138
Entity TypeOrganization
Authorized ContactEMAD E AZAB
Dentist
773-205-9900
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019023605)
Enumeration Date2005-12-02
Last Update Date2020-08-22
Business Address
INDEPENDENCE FAMILY DENTAL
4703 W LAWRENCE AVE
CHICAGO, IL 60630-1722
Phone number: 773-205-9900
Mailing Address
INDEPENDENCE FAMILY DENTAL
4703 W LAWRENCE AVE
CHICAGO, IL 60630-1722
Phone number: 773-205-9900
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