Georgetown Dental Llc

NPI 1023345568 - Dentist - 1223G0001X

NPI Details
NPI 1023345568
Enumeration Date 11/04/2009
Last Updated 11/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KATHLEEN M KATHLEEN
Position SOLE MEMBER
Phone (630) 837-3700
Fax (630) 837-3849
Practice Location
7212 EDGEBROOK LN
HANOVER PARK IL, 60133-3751, US
Phone (630) 837-3700
Fax (630) 837-3849
Business Location
7212 EDGEBROOK LANE
HANOVER PARK IL, 60133-3751, US
Phone (630) 837-3700
Fax (630) 837-3849
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019019366
Remove 1023345568 NPI Number
 

According to our database, Georgetown Dental Llc NPI is 1023345568, taxonomy code is 1223G0001X and license number is 019019366, license state is located at Illinois. Georgetown Dental Llc physically located at 7212 Edgebrook Ln, Hanover Park IL, 60133-3751. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023345568 NPI number is provided on an as is basis without warranty of any kind. 1023345568 is maintained by the National Plan & Provider Enumeration System. The contents of Georgetown Dental Llc are for informational purposes only.