| Anderson Family Dentistry | |
|
810 S. Waukegan Rd. Suite 106 Lake Forest IL 60045 | |
| (847) 295-0515 | |
| (847) 234-0048 |
| Full Name | Anderson Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 810 S. Waukegan Rd., Lake Forest, Illinois |
| Authorized Official Name and Position | Kenneth R. Anderson (PRESIDENT) |
| Authorized Official Contact | 8472950515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Family Dentistry 810 S. Waukegan Rd. Suite 106 Lake Forest IL 60045 Ph: (847) 295-0515 | Anderson Family Dentistry 810 S. Waukegan Rd. Suite 106 Lake Forest IL 60045 Ph: (847) 295-0515 |
| NPI Number | 1184872137 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184872137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 01919692 (Illinois) | Primary |
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