Organization
KKB, LLC
Active
Other names
Hidden Lakes Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN BACHINSKI DDS (MANAGER)
(630) 759-0077
Entity
Organization
Contact information
Practice address
680 W BOUGHTON RD, BOLINGBROOK, IL 60440-2185
(630) 759-0077
Mailing address
680 W BOUGHTON RD, BOLINGBROOK, IL 60440-2185
(630) 759-0077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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