Crystal Cove Family Dental Pllc
NPI #1972392751 in Orland Park, Illinois
Provider Information
- NPI Number
- 1972392751
- Entity Type
- Organization
- Organization Name
- Crystal Cove Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 6, 2025
- Last Updated
- May 6, 2025
Practice Location
- Address
- 15614 S HARLEM AVE STE A
- City
- Orland Park
- State
- Illinois
- ZIP Code
- 60462-4401
- Phone
- (708) 614-1111
Authorized Official
- Name
- FLORENTINA CAMACHO
- Title
- OFFICE MANAGER
- Phone
- (708) 614-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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