Cedar Lake Dental, P.c.

NPI #1710350152 in Round Lake, Illinois

Provider Information

NPI Number
1710350152
Entity Type
Organization
Organization Name
Cedar Lake Dental, P.c.
Primary Specialty
Dentist
Enumeration Date
Nov 6, 2015
Last Updated
Nov 6, 2015

Practice Location

Address
1849 S CEDAR LAKE RD
ZIP Code
60073-5711
Phone
(847) 201-1102

Authorized Official

Name
MAUREEN COPELAND
Title
PRESIDENT
Phone
(847) 201-1102

Specialties & Taxonomy Codes

Specialty
Dentist

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