Autumn Dental of Mokena LLC

NPI #1427576750 in Mokena, Illinois

Provider Information

NPI Number
1427576750
Entity Type
Organization
Organization Name
Autumn Dental of Mokena LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 7, 2017
Last Updated
Sep 7, 2017

Practice Location

Address
19848 S LA GRANGE RD
City
Mokena
ZIP Code
60448-9339
Phone
(708) 995-1859

Authorized Official

Name
DR. SCOTT BARES, DDS
Title
OWNER
Phone
(815) 275-2680

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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