Hidden Lakes Dental Care, P.c.
NPI #1649378571 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1649378571
- Entity Type
- Organization
- Organization Name
- Hidden Lakes Dental Care, P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 680 W BOUGHTON RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2185
- Phone
- (630) 759-0077
Authorized Official
- Name
- DR. CHARLES E CROWL, D.D.S.
- Title
- PRESIDENT
- Phone
- (630) 759-0077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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