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5 STAR FAMILY DENTAL

General Practice Dentist

South Holland, Illinois

Provider NPI: 1013462175

Organization Information:
Organization Name:  5 STAR FAMILY DENTAL
Organization is not Subpart
Authorized Official:  KEVIN LLOYD FATLAND  DENTIST / OWNER  708-9907869

Practice Location:
615 E 162ND ST  SOUTH HOLLAND, IL 60473 US
Tel: 708-331-1900  Fax: --

Business Mailing Address:
615 E 162ND ST  SOUTH HOLLAND, IL 60473 US
Tel: 708-331-1900  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IL019025070





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