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Organization

KIDS PLUS PEDIATRIC DENTISTRY

Active
Parent organization
KIDS PLUS PEDIATRIC DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIDS PLUS PEDIATRIC DENTISTRY
Authorized official
DR. DENISE FISHER (PRESIDENT)
(630) 243-6200
Entity
Organization

Contact information

Practice address
15900 W 127TH ST, LEMONT, IL 60439-2910
(630) 243-6200
(630) 733-2448
Mailing address
15900 W 127TH ST, LEMONT, IL 60439-2910
(630) 243-6200
(630) 733-2448

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019023892
IL

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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