Lifetime Dental Care of Illinois, PC

NPI #1801018197 in Dekalb, Illinois

Provider Information

NPI Number: 1801018197
Entity Type: Organization
Organization Name: Lifetime Dental Care of Illinois, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2707 SYCAMORE ROAD
City: Dekalb
State: Illinois
ZIP Code: 60115
Phone: (815) 756-4430

Authorized Official

Name: AMY KROEGER
Title: INS COOD
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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