Organization
AHOYT FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN IRIS GONZALEZ (OFFICE MANAGER)
(815) 436-3377
Entity
Organization
Contact information
Practice address
13717 S US 30, UNIT 129, PLAINFIELD, IL 60544-5527
(815) 436-3377
(815) 436-6599
Mailing address
13717 S.US 30, UNIT 129, PLAINFIELD, IL 60544
(815) 436-3377
(815) 436-6599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025441
IL
Other
Enumeration date
02/20/2007
Last updated
06/20/2008
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