| Burbank Family Dentistry | |
|
5530 W 79th St Burbank IL 60459-1302 | |
| (708) 424-2900 | |
| (708) 424-6118 |
| Full Name | Burbank Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5530 W 79th St, Burbank, Illinois |
| Authorized Official Name and Position | Gerald Ward (OWNER) |
| Authorized Official Contact | 7733187215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank Family Dentistry 5530 W 79th St Burbank IL 60459-1302 Ph: (708) 424-2900 | Burbank Family Dentistry 5530 W 79th St Burbank IL 60459-1302 Ph: (708) 424-2900 |
| NPI Number | 1609459619 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609459619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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