| Om Family Dental Pllc | |
|
1174 W Maple Ave Mundelein IL 60060-1438 | |
| (847) 305-4700 | |
| (847) 305-3090 |
| Full Name | Om Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1174 W Maple Ave, Mundelein, Illinois |
| Authorized Official Name and Position | Harini Katakamsetti (PRESIDENT) |
| Authorized Official Contact | 8567802021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Family Dental Pllc 1174 W Maple Ave Mundelein IL 60060-1438 Ph: (847) 305-4700 | Om Family Dental Pllc 1174 W Maple Ave Mundelein IL 60060-1438 Ph: (847) 305-4700 |
| NPI Number | 1740938000 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740938000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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