Organization · Type 2 NPI

Lifetime Dental Care of Illinois, PC

General Practice Dentistry · Champaign, IL

NPI number 1376765776 Active

About NPI 1376765776

Lifetime Dental Care of Illinois, PC's National Provider Identifier is 1376765776, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Champaign, IL. The record was last updated on Aug 22, 2020.