| Cedar Lake Dental, P.c. | |
|
1849 S Cedar Lake Rd Round Lake IL 60073-5711 | |
| (847) 201-1102 | |
| Not Available |
| Full Name | Cedar Lake Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1849 S Cedar Lake Rd, Round Lake, Illinois |
| Authorized Official Name and Position | Maureen Copeland (PRESIDENT) |
| Authorized Official Contact | 8472011102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Lake Dental, P.c. 1849 S Cedar Lake Rd Round Lake IL 60073-5711 Ph: (847) 201-1102 | Cedar Lake Dental, P.c. 1849 S Cedar Lake Rd Round Lake IL 60073-5711 Ph: (847) 201-1102 |
| NPI Number | 1710350152 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710350152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027730 (Illinois) | Primary |
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