| NPI | 1669889077 |
|---|---|
| Doing Business As | GLENLAKE DENTAL CARE, LTD |
| Entity Type | Organization |
| Authorized Contact | ERIC LIM President 847-724-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025267) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |