Lakeland Hills Dental PC

NPI #1194735761 in Fairview Heights, Illinois

Provider Information

NPI Number: 1194735761
Entity Type: Organization
Organization Name: Lakeland Hills Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5011 N ILLINOIS
Address 2: SUITE 1
City: Fairview Heights
State: Illinois
ZIP Code: 62208-3419
Phone: (618) 222-1942

Authorized Official

Name: WALTER J. JANKOWSKI
Title: PRESIDENT/DENTIST
Phone: (618) 222-1942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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