| Axion Dental | |
|
10112 191st St Mokena IL 60448-9381 | |
| (708) 995-7495 | |
| Not Available |
| Full Name | Axion Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10112 191st St, Mokena, Illinois |
| Authorized Official Name and Position | Chrisoula Georgacopoulos (OWNER) |
| Authorized Official Contact | 7089957495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axion Dental 10112 191st St Mokena IL 60448-9381 Ph: (708) 995-7495 | Axion Dental 10112 191st St Mokena IL 60448-9381 Ph: (708) 995-7495 |
| NPI Number | 1982438990 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982438990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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