| Bmc Family Dentistry Llc | |
|
18430 S Halsted St Suite 201 Glenwood IL 60425-1013 | |
| (708) 755-7605 | |
| Not Available |
| Full Name | Bmc Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18430 S Halsted St, Glenwood, Illinois |
| Authorized Official Name and Position | Mary Alshuqairi (PRACTICE ADVISOR) |
| Authorized Official Contact | 5039311775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmc Family Dentistry Llc 18430 S Halsted Street Suite 201 Glenwood IL 60425 Ph: (708) 755-7605 | Bmc Family Dentistry Llc 18430 S Halsted St Suite 201 Glenwood IL 60425-1013 Ph: (708) 755-7605 |
| NPI Number | 1285180554 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285180554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019022628 (Illinois) | Primary |