Organization · Type 2 NPI

Kankakee Dental PLLC

Dental Clinic/Center · Kankakee, IL

NPI number 1780256503 Active

Practice location

200 E Court St Ste 504
Kankakee, IL 60901-3847

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1780256503

Kankakee Dental PLLC's National Provider Identifier is 1780256503, issued on Jul 12, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kankakee, IL. The record was last updated on Jul 12, 2021.