Organization
FOREVER FAMILY DENTAL OF NEW LENOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
202 VANCINA LANE, NEW LENOX, IL 60451
(779) 800-2212
Mailing address
202 VANCINA LANE, NEW LENOX, IL 60451
(779) 800-2212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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