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Organization

MIDLOTHIAN FAMILY DENTAL LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK FRANCIS PLOSKONKA DDS (PRESIDENT)
(630) 926-3920
Entity
Organization

Contact information

Practice address
4155 147TH ST, MIDLOTHIAN, IL 60445-3368
(630) 926-3920
Mailing address
1818 KELLY CT, DARIEN, IL 60561-5600
(630) 926-3920

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019021645
IL

Other

Enumeration date
12/12/2017
Last updated
12/12/2017
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