New Lenox Family Dental | |
424 E Lincoln Hwy New Lenox IL 60451-1910 | |
(815) 418-6000 | |
Not Available |
Full Name | New Lenox Family Dental |
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Speciality | Dentist |
Location | 424 E Lincoln Hwy, New Lenox, Illinois |
Authorized Official Name and Position | Nicole Graves (DENTIST/OWNER) |
Authorized Official Contact | 8154186000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Lenox Family Dental 424 E Lincoln Highway New Lenox IL 60451 Ph: (815) 418-6000 | New Lenox Family Dental 424 E Lincoln Hwy New Lenox IL 60451-1910 Ph: (815) 418-6000 |
NPI Number | 1881083004 |
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Provider Enumeration Date | 01/12/2015 |
Last Update Date | 01/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881083004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019.028377 (Illinois) | Primary |
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