Familia Dental Springfiedl 5 Llc

NPI 1750645495 - Dentist - 1223G0001X

NPI Details
NPI 1750645495
Enumeration Date 06/27/2012
Last Updated 06/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KOUSHAN KOUSHAN
Position PRESIDENT
Phone (888) 988-4066
Fax (847) 496-7603
Practice Location
802 N 9TH ST
SPRINGFIELD IL, 62702-6309, US
Phone (888) 988-4066
Fax (847) 496-7603
Business Location
2050 E ALGONQUIN RD
SUITE 610
SCHAUMBURG IL, 60173-4144, 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 Springfiedl 5 Llc NPI is 1750645495, taxonomy code is 1223G0001X Familia Dental Springfiedl 5 Llc physically located at 802 N 9th St, Springfield IL, 62702-6309. NPI Number 1033115704 has the healthcare provider type.

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1750645495 NPI number is provided on an as is basis without warranty of any kind. 1750645495 is maintained by the National Plan & Provider Enumeration System. The contents of Familia Dental Springfiedl 5 Llc are for informational purposes only.