Nelson Ridge Family Dental Valid NPI

Organization · Dental Clinic/Center · New Lenox, IL

NPI

1306111349

Type

Organization (Type 2)

Primary specialty

Dental Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QD0000X

License number

019.027903 (IL)

Enumerated

2012-03-08

Last updated

2012-03-08