Meadow Lake Dental Care P.c.

NPI #1669696456 in Aurora, Illinois

Provider Information

NPI Number: 1669696456
Entity Type: Organization
Organization Name: Meadow Lake Dental Care P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3941 75TH ST
Address 2: SUITE 102
City: Aurora
State: Illinois
ZIP Code: 60504-7913
Phone: (630) 851-5130

Authorized Official

Name: DR. PAUL V RICKARD, DDS
Title: PRESIDENT
Phone: (630) 851-5130

Specialties & Taxonomy Codes

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

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