LAKESIDE DENTAL CENTER

CHICAGO, IL
NPI1063820694
Entity TypeOrganization
Authorized ContactHUSSAIN ALI
Owner
224-366-0498
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019029848)
Enumeration Date2014-07-28
Last Update Date2014-07-28
Business Address
LAKESIDE DENTAL CENTER
4945 W GRAND AVE
CHICAGO, IL 60639-4412
Phone number: 224-366-0498
Mailing Address
LAKESIDE DENTAL CENTER
2218 S MICHIGAN AVE 2
CHICAGO, IL 60616-2126
Phone number: 312-842-7133