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Organization
HRK DENTAL PLLC
Active
Organization
HRK DENTAL PLLC
Active
Other names
Bloomingdale Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FATLAND DMD (MANAGER)
(708) 990-7869
Entity
Organization
Contact information
Practice address
183 S BLOOMINGDALE RD STE 102, BLOOMINGDALE, IL 60108-1454
(224) 520-8665
Mailing address
7855 PINEVIEW LN, FRANKFORT, IL 60423-9004
(708) 990-7869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/14/2021
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