Forever Family Dental of New Lenox

NPI #1871126227 in New Lenox, Illinois

Provider Information

NPI Number: 1871126227
Entity Type: Organization
Organization Name: Forever Family Dental of New Lenox
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2020
Last Updated: Feb 13, 2020

Practice Location

Address: 202 VANCINA LANE
City: New Lenox
State: Illinois
ZIP Code: 60451
Phone: (779) 800-2212

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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