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1558509653
MATTHEW W LACKNEY
DEERFIELD, IL
NPI
1558509653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30.019889)
Enumeration Date
2009-01-27
Last Update Date
2009-01-27
Business Address
Dr. MATTHEW W LACKNEY DMD
775 WAUKEGAN RD SUITE 200
DEERFIELD, IL 60015-4342
Phone number: 847-267-9440
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Mailing Address
Dr. MATTHEW W LACKNEY DMD
775 WAUKEGAN RD SUITE 200
DEERFIELD, IL 60015-4342
Phone number: 847-267-9440
Copy
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