Follmer and Podlasek Dentistry

NPI #1437678505 in Wauconda, Illinois

Provider Information

NPI Number: 1437678505
Entity Type: Organization
Organization Name: Follmer and Podlasek Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 11, 2017
Last Updated: Sep 11, 2017

Practice Location

Address: NORTHWEST DENTAL HEALTH AND AESTHETICS
Address 2: 224 B. BROWN ST
City: Wauconda
State: Illinois
ZIP Code: 60084-1747
Phone: (847) 526-2831

Authorized Official

Name: DR. LYNN C. PODLASEK, DDS
Title: DENTIST/VICE-PRESIDENT
Phone: (847) 526-2831

Specialties & Taxonomy Codes

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

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