Performace Dental Care Il PC

NPI #1003236597 in Palos Hills, Illinois

Provider Information

NPI Number: 1003236597
Entity Type: Organization
Organization Name: Performace Dental Care Il PC
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2014
Last Updated: Apr 23, 2014

Practice Location

Address: 9957 S ROBERTS RD
City: Palos Hills
State: Illinois
ZIP Code: 60465-1646
Phone: (708) 599-8400

Authorized Official

Name: KEVIN FATLAND
Title: DENTIST
Phone: (708) 599-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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