Lake Forest Dental Associates
NPI #1538533070 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1538533070
- Entity Type
- Organization
- Organization Name
- Lake Forest Dental Associates
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 20, 2015
- Last Updated
- Nov 20, 2015
Practice Location
- Address
- 133 E LAUREL AVE
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1326
- Phone
- (847) 234-6440
Authorized Official
- Name
- MONIKA TINCHER
- Title
- OWNER
- Phone
- (805) 795-3618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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