Organization · Type 2 NPI
Lake Forest Pediatic Dentistry, PC
Dental Clinic/Center · Lake Forest, IL
NPI number
1841608502
Active
Practice location
500 N Western Ave, Suite 215
Lake Forest, IL 60045-1954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019024258 (IL) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Lake Forest
About NPI 1841608502
Lake Forest Pediatic Dentistry, PC's National Provider Identifier is 1841608502, issued on Jul 25, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Forest, IL. The record was last updated on Jul 25, 2014.