Organization
SQUAW GROVE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH A BARNHART (DDS)
(815) 286-3303
Entity
Organization
Contact information
Practice address
165 W LINCOLN AVE, HINCKLEY, IL 60520-9207
(815) 286-3303
(815) 286-9249
Mailing address
165 W LINCOLN AVE, HINCKLEY, IL 60520-9207
(815) 286-3303
(815) 286-9249
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
08/04/2008
Last updated
07/21/2022
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