Lincoln Court Dental, Ltd

NPI #1417128489 in Skokie, Illinois

Provider Information

NPI Number: 1417128489
Entity Type: Organization
Organization Name: Lincoln Court Dental, Ltd
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 18, 2008
Last Updated: Mar 18, 2008

Practice Location

Address: 8037 LINCOLN AVE
City: Skokie
State: Illinois
ZIP Code: 60077-3612
Phone: (847) 679-5558

Authorized Official

Name: DR. RICHARD RANDY MIKOS, D.D.S.
Title: OWNER/PRESIDENT
Phone: (847) 679-5558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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