| Children's Dentistry Group, Llc | |
|
195 S Rand Rd Suite 110 Lake Zurich IL 60047-2205 | |
| (847) 726-0300 | |
| (847) 726-3799 |
| Full Name | Children's Dentistry Group, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 195 S Rand Rd, Lake Zurich, Illinois |
| Authorized Official Name and Position | Paul Dana Herer (OWNER) |
| Authorized Official Contact | 8477260300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Group, Llc 195 S Rand Rd Suite 110 Lake Zurich IL 60047-2205 Ph: (847) 726-0300 | Children's Dentistry Group, Llc 195 S Rand Rd Suite 110 Lake Zurich IL 60047-2205 Ph: (847) 726-0300 |
| NPI Number | 1497983688 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497983688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019014868 (Illinois) | Primary |
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Grand Dental - Lake Zurich Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 S Old Rand Rd, Lake Zurich, IL 60047 Phone: 847-438-8136 Fax: 847-438-8155 | |
Dr J Daniel Hoobchaak Or Dr K M Jaremus Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 N Rand Rd, New Age Dental Associates, Lake Zurich, IL 60047 Phone: 847-438-3530 Fax: 847-438-3542 | |
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