MICHAEL LEE PRIMACK

LAKE FOREST, IL
NPI1710095542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-013904)
Enumeration Date2006-08-29
Last Update Date2009-02-05
Business Address
Dr. MICHAEL LEE PRIMACK D.D.S.
860 WAVELAND RD
LAKE FOREST, IL 60045-3944
Phone number: 847-234-2416
Mailing Address
Dr. MICHAEL LEE PRIMACK D.D.S.
860 WAVELAND RD
LAKE FOREST, IL 60045-3944
Phone number: 847-234-2416
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