Dental Boutique

NPI #1952502221 in Frankfort, Illinois

Provider Information

NPI Number
1952502221
Entity Type
Organization
Organization Name
Dental Boutique
Primary Specialty
Dentist - General Practice
Enumeration Date
May 31, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
20646 ABBEY WOODS COURT NORTH
Address 2
SUITE 101
ZIP Code
60423-3169
Phone
(815) 806-1451

Authorized Official

Name
MR. ERIC EDWARD KLEIN, DMD
Title
OWNER
Phone
(815) 806-1451

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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