Hamilton Lakes Dentistry

NPI #1700938412 in Itasca, Illinois

Provider Information

NPI Number: 1700938412
Entity Type: Organization
Organization Name: Hamilton Lakes Dentistry
Primary Specialty: Dentist
Enumeration Date: Jan 16, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 500 PARK BLVD
Address 2: SUITE 180C
City: Itasca
State: Illinois
ZIP Code: 60143
Phone: (630) 773-6966

Authorized Official

Name: MADGE PIERCE
Title: OFFICE MANAGER
Phone: (630) 773-6966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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