The Mchenry Dentist

NPI #1912240177 in Johnsburg, Illinois

Provider Information

NPI Number: 1912240177
Entity Type: Organization
Organization Name: The Mchenry Dentist
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2013
Last Updated: Apr 5, 2013

Practice Location

Address: 2964 COMMERCE DR
City: Johnsburg
State: Illinois
ZIP Code: 60051-5409
Phone: (847) 354-0127

Authorized Official

Name: JABAL PATEL, DMD
Title: PRESIDENT
Phone: (847) 354-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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