Organization
LEMONT FAMILY DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L SPLITT KRULL DDS (OWNER PRESIDENT)
(630) 257-8669
Entity
Organization
Contact information
Practice address
160-B EAST WEND ST, LEMONT, IL 60439
(630) 257-8669
(630) 257-9255
Mailing address
160-B EAST WEND ST, LEMONT, IL 60439
(630) 257-8669
(630) 257-9255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BS2716162
IL
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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