FARMINGTON LAKES DENTAL

OSWEGO, IL
NPI1437403029
Entity TypeOrganization
Authorized ContactKABIL CHUNPRAPAPH
President
331-212-5085
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019025947)
Enumeration Date2012-11-03
Last Update Date2012-11-03
Business Address
FARMINGTON LAKES DENTAL
1241 FARMINGTON LAKES DR
OSWEGO, IL 60543-5109
Phone number: 331-212-5085
Mailing Address
FARMINGTON LAKES DENTAL
1241 FARMINGTON LAKES DR
OSWEGO, IL 60543-5109
Phone number: 331-212-5085