Avid Dental Lindenhurst, LLC
NPI #1609199165 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1609199165
- Entity Type
- Organization
- Organization Name
- Avid Dental Lindenhurst, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 11, 2010
- Last Updated
- Jul 18, 2019
Practice Location
- Address
- 2246 E. GRAND AVE
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046
- Phone
- (847) 265-6444
Authorized Official
- Name
- MEENAL L GOEL, DDS
- Title
- OWNER/PRESIDENT
- Phone
- (847) 530-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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