FAMILIA DENTAL SPRINGFIELD 3 LLC

SPRINGFIELD, IL
NPI1669755799
Entity TypeOrganization
Authorized ContactKOUSHAN H AZAD
President
888-988-4066
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019026920)
Enumeration Date2011-09-26
Last Update Date2011-09-26
Business Address
FAMILIA DENTAL SPRINGFIELD 3 LLC
802 N 9TH ST
SPRINGFIELD, IL 62702-6309
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL SPRINGFIELD 3 LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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