Independence Family Dental
Independence Family Dental provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
Practice location Address checks out
4703 W Lawrence AveChicago, IL 60630-1722
Phone: (773) 205-9900
Fax: (773) 205-9970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X (IL) |
|---|
Record details
| NPI number | 1164406138 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emad Azab — Dentist · (773) 205-9900 |
| NPI enumerated | December 2, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4703 W Lawrence Ave, Chicago, IL 60630-1722 |
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