| Harvey Dental Associates | |
|
438 E 162nd St South Holland IL 60473-2258 | |
| (708) 333-0699 | |
| Not Available |
| Full Name | Harvey Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 438 E 162nd St, South Holland, Illinois |
| Authorized Official Name and Position | Kenneth O Johnson (PRESIDENT) |
| Authorized Official Contact | 7083354387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey Dental Associates 438 E 162nd St South Holland IL 60473-2258 Ph: (708) 333-0699 | Harvey Dental Associates 438 E 162nd St South Holland IL 60473-2258 Ph: (708) 333-0699 |
| NPI Number | 1881858835 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881858835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018099 (Illinois) | Primary |
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