Organization
MCGOWAN FAMILY DENTAL
Active
Parent organization
MCGOWAN FAMILY DENTAL
Other names
McGowan Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCGOWAN FAMILY DENTAL
Authorized official
DR. KELLY MCGOWAN (DENTIST/ OWNER)
(708) 846-6013
Entity
Organization
Contact information
Practice address
3250 W 111TH ST, CHICAGO, IL 60655-2729
(773) 232-5383
Mailing address
3250 W 111TH ST, CHICAGO, IL 60655-2729
(773) 232-5383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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