Om Family Dental Pllc

NPI #1740938000 in Mundelein, Illinois

Provider Information

NPI Number: 1740938000
Entity Type: Organization
Organization Name: Om Family Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2022
Last Updated: Mar 16, 2022

Practice Location

Address: 1174 W MAPLE AVE
City: Mundelein
State: Illinois
ZIP Code: 60060-1438
Phone: (847) 305-4700

Authorized Official

Name: DR. HARINI KATAKAMSETTI, DDS
Title: PRESIDENT
Phone: (856) 780-2021

Specialties & Taxonomy Codes

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

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