Organization
MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN FOLTYS D.D.S. (DENTIST)
(815) 478-9891
Entity
Organization
Contact information
Practice address
24600 S US HIGHWAY 52, 2D, MANHATTAN, IL 60442-9007
(815) 478-9891
Mailing address
24600 S ROUTE 52, 2D, MANHATTAN, IL 60442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021119
IL
Other
Enumeration date
03/01/2017
Last updated
03/02/2017
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