Organization · Type 2 NPI

Lakeside Dental Center

General Practice Dentistry · Chicago, IL

NPI number 1104046671 Active

About NPI 1104046671

Lakeside Dental Center's National Provider Identifier is 1104046671, issued on Apr 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.