Oak Park Dental Studio

NPI 1295173953 - Dentist - 1223G0001X

NPI Details
NPI 1295173953
Enumeration Date 06/04/2013
Last Updated 06/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOSEPH A JOSEPH
Position DENTIST
Phone (708) 386-2233
Fax
Practice Location
6630 ROOSEVELT RD
OAK PARK IL, 60304-2059, US
Phone (708) 386-2233
Fax
Business Location
6630 ROOSEVELT RD
OAK PARK IL, 60304-2059, US
Phone (708) 386-2233
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019-021465
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According to our database, Oak Park Dental Studio NPI is 1295173953, taxonomy code is 1223G0001X and license number is 019-021465, license state is located at Illinois. Oak Park Dental Studio physically located at 6630 Roosevelt Rd, Oak Park IL, 60304-2059. NPI Number 1033115704 has the healthcare provider type.

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1295173953 NPI number is provided on an as is basis without warranty of any kind. 1295173953 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Park Dental Studio are for informational purposes only.