FAMILIA DENTAL PEORIA 5 LLC

PEORIA, IL
NPI1568726206
Entity TypeOrganization
Authorized ContactKOUSHAN AZAD
President
888-988-4066
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2012-06-27
Last Update Date2012-06-27
Business Address
FAMILIA DENTAL PEORIA 5 LLC
1403 W GLEN AVE
PEORIA, IL 61614-4705
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL PEORIA 5 LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066