DR. Lance Scott Baumgarten, DDS

NPI #1053386292 in Great Lakes, Illinois

Provider Information

NPI Number: 1053386292
Entity Type: Individual
Name: DR. Lance Scott Baumgarten, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3001 A 6TH STREET
City: Great Lakes
State: Illinois
ZIP Code: 60088
Phone: (847) 688-5460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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