| Joliet Family Dental | |
|
825 Plainfield Rd Joliet IL 60435-5900 | |
| (815) 726-6000 | |
| Not Available |
| Full Name | Joliet Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 825 Plainfield Rd, Joliet, Illinois |
| Authorized Official Name and Position | Shweta Kamal (PRESIDENT) |
| Authorized Official Contact | 8157266000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joliet Family Dental 2743 Stockton Rd Naperville IL 60564-9470 Ph: (773) 742-8471 | Joliet Family Dental 825 Plainfield Rd Joliet IL 60435-5900 Ph: (815) 726-6000 |
| NPI Number | 1699917153 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699917153 | NPI | - | NPPES |
| 179563 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026341 (Illinois) | Primary |
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