| NPI | 1669696456 |
|---|---|
| Doing Business As | MEADOW LAKE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | PAUL V RICKARD President 630-851-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |