Organization
MCKENNA DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA MARIE MCKENNA (OFFICE ADMINISTRATOR)
(847) 524-3054
Entity
Organization
Contact information
Practice address
1055 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-3054
(847) 524-3054
Mailing address
1055 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-3054
(847) 524-3054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.022793
IL
Other
Enumeration date
04/27/2007
Last updated
02/19/2014
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