| Crestwood Dental Care Pc | |
|
14301 Cicero Ave Crestwood IL 60445-2549 | |
| (708) 388-4301 | |
| Not Available |
| Full Name | Crestwood Dental Care Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14301 Cicero Ave, Crestwood, Illinois |
| Authorized Official Name and Position | Alexander Alemis (PRESIDENT) |
| Authorized Official Contact | 7739787801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestwood Dental Care Pc 14301 Cicero Ave Crestwood IL 60445-2549 Ph: (708) 388-4301 | Crestwood Dental Care Pc 14301 Cicero Ave Crestwood IL 60445-2549 Ph: (708) 388-4301 |
| NPI Number | 1972151694 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972151694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Michael A. Luckett D.m.d. & Associates (rivercrest), Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4839 West Calsag Rd, #310, Crestwood, IL 60445 Phone: 708-597-9055 Fax: 216-584-1062 |