FAMILIA DENTAL MKEMIDTOWN LLC

MILWAUKEE, WI
NPI1982086955
Entity TypeOrganization
Authorized ContactKOUSHAN AZAD
Owner
847-701-1457
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  1001130)
Enumeration Date2015-06-25
Last Update Date2016-06-30
Business Address
FAMILIA DENTAL MKEMIDTOWN LLC
5341 W FOND DU LAC AVE
MILWAUKEE, WI 53216-1365
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL MKEMIDTOWN LLC
2050 E ALGONQUIN RD
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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