FAMILIA DENTAL EC LLC

EAST CHICAGO, IN
NPI1992116305
Entity TypeOrganization
Authorized ContactKOUSHAN AZAD
President
888-988-4066
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2014-05-20
Last Update Date2014-10-22
Business Address
FAMILIA DENTAL EC LLC
4624A MAGOUN AVENUE
EAST CHICAGO, IN 46312
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL EC LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066