Organization
DYER FAMILY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LLOYD FATLAND DMD (DENTIST/PRESIDENT)
(708) 839-8662
Entity
Organization
Contact information
Practice address
890 RICHARD RD, DYER, IN 46311-1779
(708) 869-8662
Mailing address
7855 PINEVIEW LN, FRANKFORT, IL 60423-9004
(708) 839-8662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19025070
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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