Lake Forest Dental Associates, PC
NPI #1396991196 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1396991196
- Entity Type
- Organization
- Organization Name
- Lake Forest Dental Associates, PC
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 133 E LAUREL AVE
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1205
- Phone
- (847) 234-6440
Authorized Official
- Name
- DR. RICHARD D. COTTRELL, D.D.S.
- Title
- OWNER
- Phone
- (847) 234-6440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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