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Organization
SOUTHWEST FAMILY DENTAL
Active
Organization
SOUTHWEST FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN D MCGRAW (OWNER)
(815) 485-3449
Entity
Organization
Contact information
Practice address
165 S MARLEY RD, NEW LENOX, IL 60451-6045
(815) 485-3449
Mailing address
165 S MARLEY RD, NEW LENOX, IL 60451-3302
(815) 485-3449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019029805
IL
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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