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Nelson Ridge Family Dental
Dental Clinic/Center in New Lenox, Illinois
NPI 1306111349

Nelson Ridge Family Dental is a Dental Clinic/Center based in New Lenox, IL and is specialized in Dental. Nelson Ridge Family Dental practices in New Lenox, IL. The NPI Number for Nelson Ridge Family Dental is 1306111349 and holds a License No. 019.027903 (Illinois).

The current practice location address for Nelson Ridge Family Dental is 820 Laraway Rd, New Lenox, IL and can be reached out via phone at 815-524-6000.

Location: 820 Laraway Rd, New Lenox, IL, 60451-2694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306111349
Provider Name
Nelson Ridge Family Dental
Credential
Provider Entity Type
Organization
Address
820 Laraway Rd, New Lenox, IL, 60451-2694
Phone Number
815-524-6000
Fax Number
Provider Enumeration Date
03/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 Laraway Rd
City
New Lenox
State
Illinois
Zip
60451-2694
Phone Number
815-524-6000
Fax Number
person
Provider Business Mailing Address Details
Address
820 Laraway Rd
City
New Lenox
State
Illinois
Zip
60451-2694
Phone Number
815-524-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019.027903 (Illinois)
Definition
Definition to come...
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