| NPI | 1487294351 |
|---|---|
| Doing Business As | PALOS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZACHARY YOUNG Dentist/Owner 309-207-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |