34TH STREET DENTAL CARE is a general practice dentist in Berwyn, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. 34TH STREET DENTAL CARE NPI is 1124358551. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 34th Street Dental Care.
The provider's business location address is:
6411 34TH ST
BERWYN, IL
ZIP 60402-717
Phone: (708) 484-6576
Fax: (708) 484-0843
The provider's authorized official is Anthony A Brucci .
The authorized official title is Owner and has the following contact phone number (708) 484-6576.
The CLIA number assigned to this NPI record is 14D2251225 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.