| NPI | 1912153479 |
|---|---|
| Doing Business As | FAMILY DENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD SHIMODA Dentist 312-226-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019016473) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-04-18 |