Llcdental
Llcdental is a Dentist in Olympia Fields, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
3494 Vollmer RdOlympia Fields, IL 60461-1018
Phone: (708) 747-2273
Fax: (708) 747-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019020348 (IL) |
|---|
Record details
| NPI number | 1669924833 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Mimms — Manager · (708) 747-2273 |
| NPI enumerated | November 3, 2016 |
| Last updated in NPPES | November 3, 2016 |
| Mailing address | 3494 Vollmer Rd, Olympia Fields, IL 60461-1018 |
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