| Oak Lawn Dental Associates Pc | |
|
9101 S Cicero Ave Oak Lawn IL 60453-1804 | |
| (708) 423-0940 | |
| (708) 423-0980 |
| Full Name | Oak Lawn Dental Associates Pc |
|---|---|
| Speciality | Dentist |
| Location | 9101 S Cicero Ave, Oak Lawn, Illinois |
| Authorized Official Name and Position | Perry E Rossino (OWNER) |
| Authorized Official Contact | 7084230940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Lawn Dental Associates Pc 9101 S Cicero Ave Oak Lawn IL 60453-1804 Ph: (708) 423-0940 | Oak Lawn Dental Associates Pc 9101 S Cicero Ave Oak Lawn IL 60453-1804 Ph: (708) 423-0940 |
| NPI Number | 1316203458 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316203458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19018803 (Illinois) | Primary |
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