| NPI | 1881083004 |
|---|---|
| Doing Business As | NEW LENOX FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICOLE GRAVES Dentist/Owner 815-418-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.028377) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |