Organization · Type 2 NPI
Crestwood Dental Care PC
Dental Clinic/Center · Crestwood, IL
NPI number
1972151694
Active
Practice location
14301 Cicero Ave
Crestwood, IL 60445-2549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1972151694
Crestwood Dental Care PC's National Provider Identifier is 1972151694, issued on Aug 27, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Crestwood, IL. The record was last updated on Aug 27, 2019.