Organization · Type 2 NPI
Forest Park Dental Associates Ltd
Dental Clinic/Center · Forest Park, IL
NPI number
1891040176
Active
Practice location
7742 Madison St
Forest Park, IL 60130-1404
Fax (708) 209-1973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019017346 (IL) |
Dental Clinic/Center: Definition to come...
About NPI 1891040176
Forest Park Dental Associates Ltd's National Provider Identifier is 1891040176, issued on Jul 23, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Forest Park, IL. The record was last updated on Jul 23, 2012.