Atdental LLC

NPI #1326457169 in Flossmoor, Illinois

Provider Information

NPI Number: 1326457169
Entity Type: Organization
Organization Name: Atdental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 19730 GOVERNORS HWY
Address 2: SUITE 1
City: Flossmoor
State: Illinois
ZIP Code: 60422
Phone: (708) 957-2030

Authorized Official

Name: KHA M NGUYEN, DMD
Title: MANAGING MEMBER
Phone: (708) 957-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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