NPI | 1699917153 |
---|---|
Doing Business As | JOLIET FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SHWETA KAMAL President 815-726-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026341) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2009-03-30 |