Organization
HAVEN FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYROLOS BOTTROS DDS (PRESIDENT/DENTIST)
(402) 238-7959
Entity
Organization
Contact information
Practice address
2722 CATON FARM RD, JOLIET, IL 60435-1309
(402) 238-7955
Mailing address
2722 CATON FARM RD, JOLIET, IL 60435-1309
(815) 782-6409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
07/09/2024
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