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Organization
HERITAGE FAMILY DENTAL, LLC
Active
Organization
HERITAGE FAMILY DENTAL, LLC
Active
Other names
Heritage Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE VILK (MANAGER)
(217) 549-6928
Entity
Organization
Contact information
Practice address
1858 STAFFORD RD, PLAINFIELD, IN 46168-2339
(317) 682-0884
Mailing address
522 E JASPER ST, PARIS, IL 61944-2437
(217) 463-4110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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