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Organization
OM FAMILY DENTAL PLLC
Active
Organization
OM FAMILY DENTAL PLLC
Active
Other names
MEADOWS FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARINI KATAKAMSETTI DDS (PRESIDENT)
(856) 780-2021
Entity
Organization
Contact information
Practice address
1174 W MAPLE AVE, MUNDELEIN, IL 60060-1438
(847) 305-4700
(847) 305-3090
Mailing address
1174 W MAPLE AVE, MUNDELEIN, IL 60060-1438
(847) 305-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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