OrganizationActive
Family Dental Clinic, PC
NPI 1780848945 · Health Maintenance Organization · Chicago, IL
Provider details
- NPI number
- 1780848945
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Mohammad Zaffarkhan, Dentist(773) 463-1904
- License
- 01901529 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
3211 W Lawrence Ave
Chicago, IL 60625-5208
Phone: (773) 463-1904
Fax: (773) 463-1257
Approximate (ZIP-level) locationGet directions
Mailing address
3211 W Lawrence Ave
Chicago, IL 60625-5208
Registry dates
- Enumerated
- 2008-07-16
- Last updated
- 2008-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.