| NPI | 1699599688 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF CRYSTAL LAKE |
| Entity Type | Organization |
| Authorized Contact | ADRIAN RAYYAN Owner 847-790-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |