Organization
HRK DENTAL PLLC
Active
Other names
Bloomingdale Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN FATLAND DMD (MANAGER)
(708) 990-7869
Entity
Organization
Contact information
Practice address
183 S BLOOMINGDALE RD STE 102, BLOOMINGDALE, IL 60108-1454
(224) 520-8665
Mailing address
7855 PINEVIEW LN, FRANKFORT, IL 60423-9004
(708) 990-7869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/14/2021
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