| Avid Dental Lindenhurst, Llc | |
|
2246 E. Grand Ave Lake Villa IL 60046 | |
| (847) 265-6444 | |
| (847) 265-6464 |
| Full Name | Avid Dental Lindenhurst, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2246 E. Grand Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Meenal L Goel (OWNER/PRESIDENT) |
| Authorized Official Contact | 8475302828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avid Dental Lindenhurst, Llc 2246 E. Grand Ave Lake Villa IL 60046 Ph: (847) 265-6444 | Avid Dental Lindenhurst, Llc 2246 E. Grand Ave Lake Villa IL 60046 Ph: (847) 265-6444 |
| NPI Number | 1609199165 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609199165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
De Los Reyes Dental Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N. Milwaukee Avenue, Ste. A, Lake Villa, IL 60046 Phone: 847-699-2358 Fax: 847-265-0744 | |
Hannah Kim Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 E Grand Ave Unit 1, Lake Villa, IL 60046 Phone: 224-444-8358 | |
G. Neil Garrett Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 E Grand Ave, Lake Villa, IL 60046 Phone: 847-356-3777 |