Your Family Dentist

NPI 1396995999 - Dentist - 122300000X

NPI Details
NPI 1396995999
Enumeration Date 09/19/2008
Last Updated 09/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EMAD E EMAD
Position PRESIDENT
Phone (773) 589-1400
Fax (773) 589-1408
Practice Location
8441 W LAWRENCE AVE
CHICAGO IL, 60656-2953, US
Phone (773) 589-1400
Fax (773) 589-1408
Business Location
8441 W LAWRENCE AVE
CHICAGO IL, 60656-2953, US
Phone (773) 589-1400
Fax (773) 589-1408
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019-023605
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According to our database, Your Family Dentist NPI is 1396995999, taxonomy code is 122300000X and license number is 019-023605, license state is located at Illinois. Your Family Dentist physically located at 8441 W Lawrence Ave, Chicago IL, 60656-2953. NPI Number 1033115704 has the healthcare provider type.

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1396995999 NPI number is provided on an as is basis without warranty of any kind. 1396995999 is maintained by the National Plan & Provider Enumeration System. The contents of Your Family Dentist are for informational purposes only.