Crossroads Dental Care LLC
NPI #1225257397 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1225257397
- Entity Type
- Organization
- Organization Name
- Crossroads Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Jul 18, 2007
Practice Location
- Address
- 9532 179TH ST
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-9602
- Phone
- (708) 444-2273
Authorized Official
- Name
- DR. JENNIFER P KOCH, DMD
- Title
- OWNER
- Phone
- (708) 444-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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