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Organization

MICHAEL T JONES DMD LTD

Active
Other names
Allied Dental Asso & Lab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL T JONES DMD (PRESIDENT)
(708) 331-3236
Entity
Organization

Contact information

Practice address
15335 PAGE AVE, HARVEY, IL 60426
(708) 331-3236
(708) 331-2590
Mailing address
15335 PAGE AVE, HARVEY, IL 60426
(708) 331-3236
(708) 331-2590

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101467
IL
05
101487
IL
Enumeration date
02/16/2007
Last updated
08/22/2020
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