5 Star Family Dental
NPI #1013462175 in South Holland, Illinois
Provider Information
- NPI Number
- 1013462175
- Entity Type
- Organization
- Organization Name
- 5 Star Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 18, 2016
- Last Updated
- Feb 3, 2017
Practice Location
- Address
- 615 E 162ND ST
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2329
- Phone
- (708) 331-1900
Authorized Official
- Name
- DR. KEVIN LLOYD FATLAND, DMD
- Title
- DENTIST / OWNER
- Phone
- (708) 990-7869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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