DR. Michael Lee Primack, D.D.S.
NPI #1710095542 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1710095542
- Entity Type
- Individual
- Name
- DR. Michael Lee Primack, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 860 WAVELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-3944
- Phone
- (847) 234-2416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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