| Oak Ridge Family Dental Llc | |
|
4445 W 95th St Oak Lawn IL 60453-7219 | |
| (708) 422-2224 | |
| (708) 422-0296 |
| Full Name | Oak Ridge Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 4445 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Victoria A Pavletic-vorderer (DENTIST) |
| Authorized Official Contact | 7084222224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Ridge Family Dental Llc 4445 W 95th St Oak Lawn IL 60453-7219 Ph: (708) 422-2224 | Oak Ridge Family Dental Llc 4445 W 95th St Oak Lawn IL 60453-7219 Ph: (708) 422-2224 |
| NPI Number | 1407084445 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407084445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-018909 (Illinois) | Primary |
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