| Maywood Family Dental, Ltd | |
|
1409 S 5th Ave Maywood IL 60153-2128 | |
| (708) 865-2225 | |
| Not Available |
| Full Name | Maywood Family Dental, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1409 S 5th Ave, Maywood, Illinois |
| Authorized Official Name and Position | James Poulos (PRESIDENT) |
| Authorized Official Contact | 7088652225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maywood Family Dental, Ltd 1409 S 5th Ave Maywood IL 60153-2128 Ph: () - | Maywood Family Dental, Ltd 1409 S 5th Ave Maywood IL 60153-2128 Ph: (708) 865-2225 |
| NPI Number | 1518370832 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518370832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019020091 (Illinois) | Primary |
Nicholas R Tokarski Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Madison St, Maywood, IL 60153 Phone: 708-344-1880 | |
Maywood Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 S 5th Ave, Maywood, IL 60153 Phone: 708-865-2225 Fax: 708-865-2282 |