LIFETIME DENTAL CARE OF ILLINOIS, PC

CARBONDALE, IL
NPI1023230281
Entity TypeOrganization
Authorized ContactAMY KROEGER
Ins COO D
217-540-5100
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-05-03
Last Update Date2020-08-22
Business Address
LIFETIME DENTAL CARE OF ILLINOIS, PC
1001 E MAIN
CARBONDALE, IL 62901
Phone number: 618-549-2273
Mailing Address
LIFETIME DENTAL CARE OF ILLINOIS, PC
1001 E MAIN
CARBONDALE, IL 62901
Phone number: 618-549-2273