FAMILIA DENTAL SPRINGFIEDL 5 LLC

SPRINGFIELD, IL
NPI1750645495
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 SPRINGFIEDL 5 LLC
802 N 9TH ST
SPRINGFIELD, IL 62702-6309
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL SPRINGFIEDL 5 LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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