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1407593924
AUSTIN LACKE DMD PLLC
AURORA, IL
NPI
1407593924
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Entity Type
Organization
Authorized Contact
AUSTIN LACKE
Dentist
630-200-9222
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
AUSTIN LACKE DMD PLLC
1852 FREDERICKSBURG LN
AURORA, IL 60503-3647
Phone number: 630-200-9222
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Mailing Address
AUSTIN LACKE DMD PLLC
1852 FREDERICKSBURG LN
AURORA, IL 60503-3647
Phone number: 630-200-9222
Copy
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