Lakewood Dentistry LLC
NPI #1619336278 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1619336278
- Entity Type
- Organization
- Organization Name
- Lakewood Dentistry LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Feb 11, 2016
- Last Updated
- Feb 11, 2016
Practice Location
- Address
- 9411 ACKMAN RD
- State
- Illinois
- ZIP Code
- 60156-9706
- Phone
- (630) 339-3172
Authorized Official
- Name
- DR. ALAN J ACIERNO, DDS
- Title
- MANAGER
- Phone
- (630) 339-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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