| NPI | 1033069885 |
|---|---|
| Doing Business As | ELK GROVE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN HOMANN Owner 815-543-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2026-01-31 |
| Last Update Date | 2026-01-31 |