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 |