NPI 1356411136

Westchester Family Dental LTD

Organisation General Practice Dentistry Westchester, IL

Practice location

Address: 4 Westbrook Corporate Center STE 102, Westchester, IL 60104
Phone: (708) 562-5621
Fax: (708) 562-7657

Authorised official

Name: Raffaele C Ambrosino
Title: President
Phone: (708) 562-5621

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019-025052 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1356411136
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 24 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.