| NPI | 1659779569 |
|---|---|
| Doing Business As | LINCOLN CROSSING FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRENEICE MANGRAM President/Dentist 708-799-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026308) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |