| Crystal Family Dental | |
|
2405 Essington Rd Suite D Joliet IL 60435-1200 | |
| (815) 439-1270 | |
| (815) 439-3508 |
| Full Name | Crystal Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2405 Essington Rd, Joliet, Illinois |
| Authorized Official Name and Position | Jasmine N Harvala (OFFICE MANAGER) |
| Authorized Official Contact | 8154391270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Family Dental 2405 Essington Rd Suite D Joliet IL 60435-1200 Ph: (815) 439-1270 | Crystal Family Dental 2405 Essington Rd Suite D Joliet IL 60435-1200 Ph: (815) 439-1270 |
| NPI Number | 1750747978 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750747978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027616 (Illinois) | Primary |
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