De Los Reyes Dental Ltd.

NPI #1245463371 in Lake Villa, Illinois

Provider Information

NPI Number
1245463371
Entity Type
Organization
Organization Name
De Los Reyes Dental Ltd.
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 24, 2009
Last Updated
Aug 24, 2009

Practice Location

Address
300 N. MILWAUKEE AVENUE
Address 2
STE. A
ZIP Code
60046
Phone
(847) 699-2358

Authorized Official

Name
MRS. AMELIA A. DE LOS REYES
Title
OFFICE MANAGER
Phone
(847) 699-2358

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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