| NPI | 1811339096 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE PARK RIDGE |
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ANDERSON Owner 847-692-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019022315) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |