| NPI | 1285726364 |
|---|---|
| Former Legal Business Name | LINCOLNWOOD DENTAL CENTER LTD |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A GOONE President 847-679-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018589) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-08-21 |