| Full Name | Familia Dental |
|---|---|
| Speciality | Dentist |
| Location | 200 W Lake St, Addison, Illinois |
| Authorized Official Name and Position | Koushan H Azad (PRESIDENT) |
| Authorized Official Contact | 8889884066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Familia Dental 200 W Lake St Addison IL 60101-2513 Ph: (888) 988-4066 |
| NPI Number | 1609159748 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609159748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026920 (Illinois) | Primary |
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Addison Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Suite 2, Addison, IL 60101 Phone: 630-543-8688 Fax: 630-543-8692 | |
Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Army Trail Blvd, Unit D, Addison, IL 60101 Phone: 630-458-0555 | |
Esha Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 W Lake St, Addison, IL 60101 Phone: 630-660-8929 | |
Signature Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd, Suite G, Addison, IL 60101 Phone: 630-627-7626 Fax: 630-627-7626 | |
Addison Swift Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd Ste G, Addison, IL 60101 Phone: 630-627-7626 | |
Familia Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W. Lake St., Addison, IL 60101 Phone: 630-628-3115 Fax: 630-628-3116 | |
Mallard Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 S Addison Rd, Ste 101, Addison, IL 60101 Phone: 630-834-4343 Fax: 630-834-6308 |