| NPI | 1275012684 |
|---|---|
| Former Legal Business Name | DEKALB FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATHY LAM President 630-653-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019026695) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |