Organization
DENTAL CLUB DARIEN P.C.
Active
Other names
Kingery Dental Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J RYAN JR. DDS (PRESIDENT)
(708) 305-0729
Entity
Organization
Contact information
Practice address
6700 IL-83, DARIEN, IL 60561
(630) 934-0439
Mailing address
11310 POPLAR CREEK LN, ORLAND PARK, IL 60467-7308
(708) 305-0729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
10/17/2024
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