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590 DENTAL CARE LLC

Preferred Provider Organization

NPI: 1326400078Organization

Specialties, Licenses & Credentials

Preferred Provider Organization

Code: 305R00000X

019018431(IL)

Contact & Hours

Address
590 WILLIAM R LATHAM SR DR
BOURBONNAIS, IL 60914

Quick Facts

NPI
1326400078
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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