Georgetown Dental LLC
NPI #1023345568 in Hanover Park, Illinois
Provider Information
- NPI Number
- 1023345568
- Entity Type
- Organization
- Organization Name
- Georgetown Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 4, 2009
- Last Updated
- Nov 4, 2009
Practice Location
- Address
- 7212 EDGEBROOK LN
- City
- Hanover Park
- State
- Illinois
- ZIP Code
- 60133-3751
- Phone
- (630) 837-3700
Authorized Official
- Name
- DR. KATHLEEN M HANSEN, D.D.S.
- Title
- SOLE MEMBER
- Phone
- (630) 837-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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