Lake Cook Dental Center P C
NPI #1003085465 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1003085465
- Entity Type
- Organization
- Organization Name
- Lake Cook Dental Center P C
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 29, 2008
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 1207 MCHENRY ROAD
- Address 2
- SUITE 215
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-1371
- Phone
- (847) 955-2331
Authorized Official
- Name
- DR. ROSANNA MIRANDA LESNIAK, D.D.S.
- Title
- PRESIDENT
- Phone
- (847) 955-2331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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