| Forever Family Dental Of New Lenox | |
|
202 Vancina Lane New Lenox IL 60451 | |
| (779) 800-2212 | |
| Not Available |
| Full Name | Forever Family Dental Of New Lenox |
|---|---|
| Speciality | Dentist |
| Location | 202 Vancina Lane, New Lenox, Illinois |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Family Dental Of New Lenox 202 Vancina Lane New Lenox IL 60451 Ph: (779) 800-2212 | Forever Family Dental Of New Lenox 202 Vancina Lane New Lenox IL 60451 Ph: (779) 800-2212 |
| NPI Number | 1871126227 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871126227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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