Lemont Dental Clinic

NPI #1972964005 in Lemont, Illinois

Provider Information

NPI Number: 1972964005
Entity Type: Organization
Organization Name: Lemont Dental Clinic
Primary Specialty: Dentist
Enumeration Date: Mar 17, 2016
Last Updated: Mar 17, 2016

Practice Location

Address: 14240 MCCARTHY RD.
City: Lemont
State: Illinois
ZIP Code: 60439-9393
Phone: (630) 914-1500

Authorized Official

Name: DR. BEATA DEDEROWSKI, D.M.D
Title: PRESIDENT
Phone: (708) 914-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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