| Atdental Llc | |
|
19730 Governors Hwy Suite 1 Flossmoor IL 60422 | |
| (708) 957-2030 | |
| Not Available |
| Full Name | Atdental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19730 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Kha M Nguyen (MANAGING MEMBER) |
| Authorized Official Contact | 7089572030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atdental Llc 162 Melrose Ave Elmhurst IL 60126 Ph: () - | Atdental Llc 19730 Governors Hwy Suite 1 Flossmoor IL 60422 Ph: (708) 957-2030 |
| NPI Number | 1326457169 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326457169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028743 (Illinois) | Primary |
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