Kankakee Dental Pllc
NPI #1780256503 in Kankakee, Illinois
Provider Information
- NPI Number
- 1780256503
- Entity Type
- Organization
- Organization Name
- Kankakee Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 12, 2021
- Last Updated
- Jul 12, 2021
Practice Location
Authorized Official
- Name
- DR. KEVIN FATLAND, DMD
- Title
- MEMBER
- Phone
- (708) 990-7869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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