International Dental Professionals

NPI #1104954478 in Lake in the Hills, Illinois

Provider Information

NPI Number: 1104954478
Entity Type: Organization
Organization Name: International Dental Professionals
Primary Specialty: Dentist
Enumeration Date: Mar 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 9411 ACKMAN RD
City: Lake in the Hills
State: Illinois
ZIP Code: 60156-9706
Phone: (847) 669-4088

Authorized Official

Name: TERUYUKI HATAKEYAMA, D.D.S.
Title: PRESIDENT OWNER
Phone: (847) 669-4088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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