| Palos Family Dental Llc | |
|
7132 W 127th St Palos Heights IL 60463-1560 | |
| (708) 448-4161 | |
| (708) 448-4326 |
| Full Name | Palos Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7132 W 127th St, Palos Heights, Illinois |
| Authorized Official Name and Position | Philip H Collins (OWNER) |
| Authorized Official Contact | 7084484161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palos Family Dental Llc 7132 W 127th St Palos Heights IL 60463-1560 Ph: (708) 448-4161 | Palos Family Dental Llc 7132 W 127th St Palos Heights IL 60463-1560 Ph: (708) 448-4161 |
| NPI Number | 1144633314 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144633314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-017178 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 019-028616 (Illinois) | Secondary |
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