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Organization
OLYMPIA FIELDS FAMILY DENTAL
Active
Organization
OLYMPIA FIELDS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY WOLTER (INSURANCE MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
20180 GOVERNORS HWY STE 104, OLYMPIA FIELDS, IL 60461-1065
(708) 747-9777
Mailing address
20180 GOVERNORS HWY STE 104, OLYMPIA FIELDS, IL 60461-1065
(708) 747-9777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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