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Autumn Dental Of Mokena Llc
Dental Clinic/Center in Mokena, Illinois
NPI 1427576750

Autumn Dental Of Mokena Llc is a Dental Clinic/Center based in Forreston, IL and is specialized in Dental. Autumn Dental Of Mokena Llc practices in Mokena, IL. The NPI Number for Autumn Dental Of Mokena Llc is 1427576750 and holds a License No. 019027024 (Illinois).

The current practice location address for Autumn Dental Of Mokena Llc is 19848 S La Grange Rd, Mokena, IL and can be reached out via phone at 708-995-1859.

Location: 19848 S La Grange Rd, Mokena, IL, 61030-9330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427576750
Provider Name
Autumn Dental Of Mokena Llc
Credential
Provider Entity Type
Organization
Address
19848 S La Grange Rd, Mokena, IL, 61030-9330
Phone Number
708-995-1859
Fax Number
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19848 S La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9339
Phone Number
708-995-1859
Fax Number
person
Provider Business Mailing Address Details
Address
19848 S La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9339
Phone Number
708-995-1859
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019027024 (Illinois)
Definition
Definition to come...
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