Farmington Lakes Dental

NPI #1437403029 in Oswego, Illinois

Provider Information

NPI Number
1437403029
Entity Type
Organization
Organization Name
Farmington Lakes Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 3, 2012
Last Updated
Nov 3, 2012

Practice Location

Address
1241 FARMINGTON LAKES DR
City
Oswego
ZIP Code
60543-5109
Phone
(331) 212-5085

Authorized Official

Name
DR. KABIL CHUNPRAPAPH, D.M.D.
Title
PRESIDENT
Phone
(331) 212-5085

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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