| Mchenry Family Dental | |
|
1311 N Green St Mchenry IL 60050-4452 | |
| (815) 385-6545 | |
| Not Available |
| Full Name | Mchenry Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1311 N Green St, Mchenry, Illinois |
| Authorized Official Name and Position | Yana Lyushkova (PRESIDENT) |
| Authorized Official Contact | 8153856545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchenry Family Dental 1311 N Green St Mchenry IL 60050-4452 Ph: (815) 385-6545 | Mchenry Family Dental 1311 N Green St Mchenry IL 60050-4452 Ph: (815) 385-6545 |
| NPI Number | 1316375843 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 10/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316375843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028012 (Illinois) | Primary |
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