| NPI | 1427597368 |
|---|---|
| Doing Business As | LAKEFRONT DENTAL |
| Entity Type | Organization |
| Authorized Contact | LILLIAN OBUCINA President 312-505-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019021263) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |