| NPI | 1497334114 |
|---|---|
| Doing Business As | DR JACKIE'S FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACLYN ANNETTE MCMAHON President 847-584-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |