Organization · Type 2 NPI
Nelson Ridge Family Dental
Dental Clinic/Center · New Lenox, IL
NPI number
1306111349
Active
Practice location
820 Laraway Rd
New Lenox, IL 60451-2694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019.027903 (IL) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in New Lenox
About NPI 1306111349
Nelson Ridge Family Dental's National Provider Identifier is 1306111349, issued on Mar 8, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in New Lenox, IL. The record was last updated on Mar 8, 2012.