PERFORMACE DENTAL CARE IL PC

FLOSSMOOR, IL
NPI1497175988
Entity TypeOrganization
Authorized ContactKEVIN FATLAND
Dentist
708-647-7509
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  19025070)
Enumeration Date2014-04-23
Last Update Date2014-04-23
Business Address
PERFORMACE DENTAL CARE IL PC
19509 GOVERNORS HWY
FLOSSMOOR, IL 60422-2097
Phone number: 708-647-7509
Mailing Address
PERFORMACE DENTAL CARE IL PC
19509 GOVERNORS HWY
FLOSSMOOR, IL 60422-2097
Phone number: 708-647-7509
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