| NPI | 1346514460 |
|---|---|
| Doing Business As | FAMILY MEDICAL DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LUIS ANTONIO OSORIO Owner 708-749-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.087612) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |