Midlothian Family Dental Ltd.
NPI #1265947212 in Midlothian, Illinois
Provider Information
- NPI Number
- 1265947212
- Entity Type
- Organization
- Organization Name
- Midlothian Family Dental Ltd.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 12, 2017
- Last Updated
- Dec 12, 2017
Practice Location
- Address
- 4155 147TH ST
- City
- Midlothian
- State
- Illinois
- ZIP Code
- 60445-3368
- Phone
- (630) 926-3920
Authorized Official
- Name
- DR. MARK FRANCIS PLOSKONKA, DDS
- Title
- PRESIDENT
- Phone
- (630) 926-3920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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