| Primary Family Dental | |
|
1000 W Jefferson St 101 Joliet IL 60435-6812 | |
| (815) 727-5813 | |
| (779) 205-3423 |
| Full Name | Primary Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1000 W Jefferson St, Joliet, Illinois |
| Authorized Official Name and Position | Kalpana Shah (PRESIDENT) |
| Authorized Official Contact | 8157275813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Family Dental 1000 W Jefferson St 101 Joliet IL 60435-6812 Ph: (815) 727-5813 | Primary Family Dental 1000 W Jefferson St 101 Joliet IL 60435-6812 Ph: (815) 727-5813 |
| NPI Number | 1679904171 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679904171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025713 (Illinois) | Primary |
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