Organization
KRISHAN DENTAL LIMITED
Active
Other names
Joliet Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHWETA KAMAL D.D.S. (PRESIDENT)
(815) 726-6000
Entity
Organization
Contact information
Practice address
825 PLAINFIELD RD, JOLIET, IL 60435-5900
(815) 726-6000
Mailing address
2743 STOCKTON RD, NAPERVILLE, IL 60564-9470
(773) 742-8471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179563
—
IL
Enumeration date
03/30/2009
Last updated
03/30/2009
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