LANCE SCOTT BAUMGARTEN

GREAT LAKES, IL
NPI1053386292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-018294)
Enumeration Date2006-02-21
Last Update Date2007-07-08
Business Address
Dr. LANCE SCOTT BAUMGARTEN DDS
3001 A 6TH STREET
GREAT LAKES, IL 60088
Phone number: 847-688-5460
Mailing Address
Dr. LANCE SCOTT BAUMGARTEN DDS
1906 HEATHER LN
JOHNSBURG, IL 60050-1151
Phone number: 815-363-9037