Andrew Dental Care, Ltd

NPI 1164730222 - Dentist - 122300000X

NPI Details
NPI 1164730222
Enumeration Date 09/22/2010
Last Updated 09/22/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARCO MARCO
Position OWNER
Phone (708) 429-1110
Fax
Practice Location
11950 S HARLEM AVE
SUITE 102
PALOS HEIGHTS IL, 60463-1150, US
Phone (708) 429-1110
Fax
Business Location
11950 S HARLEM AVE
SUITE 102
PALOS HEIGHTS IL, 60463-1150, US
Phone (708) 429-1110
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019022202
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According to our database, Andrew Dental Care, Ltd NPI is 1164730222, taxonomy code is 122300000X and license number is 019022202, license state is located at Illinois. Andrew Dental Care, Ltd physically located at 11950 S Harlem Ave, Palos Heights IL, 60463-1150. NPI Number 1033115704 has the healthcare provider type.

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1164730222 NPI number is provided on an as is basis without warranty of any kind. 1164730222 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Dental Care, Ltd are for informational purposes only.