Organization · Type 2 NPI

Dental Office 300 Memorial Drive LLC

General Practice Dentistry · Crystal Lake, IL

NPI number 1669548830 Active

About NPI 1669548830

Dental Office 300 Memorial Drive LLC's National Provider Identifier is 1669548830, issued on Nov 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Crystal Lake, IL. The record was last updated on Aug 22, 2020.