LAKE FOREST DENTAL ASSOCIATES

LAKE FOREST, IL
NPI1538533070
Entity TypeOrganization
Authorized ContactMONIKA TINCHER
Owner
805-795-3618
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019.029812)
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
LAKE FOREST DENTAL ASSOCIATES
133 E LAUREL AVE
LAKE FOREST, IL 60045-1326
Phone number: 847-234-6440
Mailing Address
LAKE FOREST DENTAL ASSOCIATES
133 E LAUREL AVE
LAKE FOREST, IL 60045-1326
Phone number: 847-234-6440