| NPI | 1528875762 |
|---|---|
| Other Name | MCGOWAN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KELLY MCGOWAN Dentist/ Owner 708-846-6013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |