Organization
DENTAL HEALTH DESIGNS LTD
Active
Other names
Paxton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L FATLAND D.M.D. (PRESIDENT)
(217) 379-4614
Entity
Organization
Contact information
Practice address
225 N MARKET ST, PAXTON, IL 60957-1189
(217) 379-4614
(217) 379-3185
Mailing address
225 N MARKET ST, PAXTON, IL 60957-1189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025070
IL
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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