Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAMILIA DENTAL ESL LLC
Active OrganizationDental Clinic · EAST SAINT LOUIS, IL
Registration Details
- NPI Number
- 1962792747
- Provider Type
- Organization
- NPI Issued
- Apr 13, 2011 (15.058411022521 yrs)
- Last Updated
- Jun 25, 2021
- License
-
019026920 (IL)
Practice Information
- Address
-
2608 STATE ST.EAST SAINT LOUIS, IL, 622052325Browse IL providers · Browse ZIP 62205
- Phone
- 6188572300
- Fax
- 6188572302
- Primary Specialty
-
Dental Clinic
261QD0000X
- Additional Specialty
- Dental Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.