| Valley Creek Family Dental Ltd | |
|
11244 W Laporte Rd Mokena IL 60448 | |
| (708) 479-2203 | |
| (708) 479-2412 |
| Full Name | Valley Creek Family Dental Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11244 W Laporte Rd, Mokena, Illinois |
| Authorized Official Name and Position | Patrick Michael Mitsos (PRESIDENT) |
| Authorized Official Contact | 7089547396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Creek Family Dental Ltd 11244 W Laporte Rd Mokena IL 60448 Ph: (708) 479-2203 | Valley Creek Family Dental Ltd 11244 W Laporte Rd Mokena IL 60448 Ph: (708) 479-2203 |
| NPI Number | 1215450408 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215450408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029811 (Illinois) | Primary |
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