| NPI | 1316375843 |
|---|---|
| Doing Business As | MCHENRY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | YANA LYUSHKOVA President 815-385-6545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028012) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |