Familia Dental Ros Llc

NPI 1730472184 - Dentist - 1223G0001X

NPI Details
NPI 1730472184
Enumeration Date 05/18/2011
Last Updated 05/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KOUSHAN KOUSHAN
Position PRESIDENT
Phone (888) 988-4066
Fax (847) 496-7603
Practice Location
2600 N MAIN ST
ROSWELL NM, 88201-6554, US
Phone (888) 988-4066
Fax (847) 496-7603
Business Location
2000 E ALGONQUIN RD
SUITE 109
SCHAUMBURG IL, 60173-4189, US
Phone (888) 988-4066
Fax (847) 496-7603
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Familia Dental Ros Llc NPI is 1730472184, taxonomy code is 1223G0001X Familia Dental Ros Llc physically located at 2600 N Main St, Roswell NM, 88201-6554. NPI Number 1033115704 has the healthcare provider type.

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1730472184 NPI number is provided on an as is basis without warranty of any kind. 1730472184 is maintained by the National Plan & Provider Enumeration System. The contents of Familia Dental Ros Llc are for informational purposes only.