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Organization
PALOS FAMILY DENTAL LLC
Active
Organization
PALOS FAMILY DENTAL LLC
Active
Other names
Dr Philip H. Collins DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP H COLLINS DDS (OWNER)
(708) 448-4161
Entity
Organization
Contact information
Practice address
7132 W 127TH ST, PALOS HEIGHTS, IL 60463-1560
(708) 448-4161
(708) 448-4326
Mailing address
7132 W 127TH ST, PALOS HEIGHTS, IL 60463-1560
(708) 448-4161
(708) 448-4326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-017178
IL
1223G0001X
General Practice Dentistry
019-028616
IL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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