| Lisle Family Dental Inc | |
|
3033 Ogden Ave Suite 114 Lisle IL 60532-1673 | |
| (630) 961-1030 | |
| (630) 961-0223 |
| Full Name | Lisle Family Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 3033 Ogden Ave, Lisle, Illinois |
| Authorized Official Name and Position | Fariha Siddiqui (PARTNER) |
| Authorized Official Contact | 7738806054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisle Family Dental Inc 3033 Ogden Ave Suite 114 Lisle IL 60532-1673 Ph: (630) 961-1030 | Lisle Family Dental Inc 3033 Ogden Ave Suite 114 Lisle IL 60532-1673 Ph: (630) 961-1030 |
| NPI Number | 1710373550 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710373550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027922 (Illinois) | Primary |
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