| NPI | 1417198169 |
|---|---|
| Doing Business As | HIGHLAND PARK DENTAL CARE & LAKE BLUFF DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RANDAL A. KNUDSON Owner 847-432-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019018974) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |