KANKAKEE DENTAL PLLC

KANKAKEE, IL
NPI1780256503
Entity TypeOrganization
Authorized ContactKEVIN FATLAND
Member
708-990-7869
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-07-12
Last Update Date2021-07-12
Business Address
KANKAKEE DENTAL PLLC
200 E COURT ST STE 504
KANKAKEE, IL 60901-3847
Phone number: 815-932-3613
Mailing Address
KANKAKEE DENTAL PLLC
200 E COURT ST STE 504
KANKAKEE, IL 60901-3847
Phone number: 815-932-3613
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