Organization · Type 2 NPI
My Dental Home LLC
Dental Clinic/Center · Orland Park, IL
NPI number
1861273047
Active
Practice location
1700 Ravinia Pl
Orland Park, IL 60462-3543
Fax (708) 696-1045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1861273047
My Dental Home LLC's National Provider Identifier is 1861273047, issued on Oct 12, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Orland Park, IL. The record was last updated on Oct 12, 2023.