Lemont Family Dental, Ltd

NPI #1194156844 in Lemont, Illinois

Provider Information

NPI Number: 1194156844
Entity Type: Organization
Organization Name: Lemont Family Dental, Ltd
Primary Specialty: Dentist
Enumeration Date: Dec 6, 2013
Last Updated: Sep 9, 2015

Practice Location

Address: 160 E WEND ST STE B
City: Lemont
State: Illinois
ZIP Code: 60439-2904
Phone: (630) 257-8669

Authorized Official

Name: DR. JENNIFER L SPLITT-KRULL, DDS
Title: PRESIDENT
Phone: (630) 257-8669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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