Provider First Line Business Practice Location Address:
OAK RIDGE FAMILY DENTAL
Provider Second Line Business Practice Location Address:
3615 W. 95TH STREET
Provider Business Practice Location Address City Name:
EVERGREEN PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60805-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-422-2224
Provider Business Practice Location Address Fax Number:
708-422-0296
Provider Enumeration Date:
06/14/2018