Mchenry Dental Associates

NPI #1982197984 in Mchenry, Illinois

Provider Information

NPI Number: 1982197984
Entity Type: Organization
Organization Name: Mchenry Dental Associates
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 13, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 1315 N RIVERSIDE DR
City: Mchenry
State: Illinois
ZIP Code: 60050-4509
Phone: (815) 385-1360

Authorized Official

Name: KRISTY WOLTER
Title: INSURANCE MANAGER
Phone: (630) 869-5857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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