Anderson Family Dentistry

NPI #1184872137 in Lake Forest, Illinois

Provider Information

NPI Number: 1184872137
Entity Type: Organization
Organization Name: Anderson Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 810 S. WAUKEGAN RD.
Address 2: SUITE 106
City: Lake Forest
State: Illinois
ZIP Code: 60045
Phone: (847) 295-0515

Authorized Official

Name: DR. KENNETH R. ANDERSON JR., D.D.S.
Title: PRESIDENT
Phone: (847) 295-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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