Lisa Mostowfi Konz, DDS
NPI #1003917915 in Libertyville, Illinois
Provider Information
- NPI Number
- 1003917915
- Entity Type
- Individual
- Name
- Lisa Mostowfi Konz, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 747 N MILWAUKEE AVE SUITE 103
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048
- Phone
- (847) 367-3050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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