| Children's Dentistry Of Lake County And Associates, P.c. | |
|
5250 Grand Ave Ste 7 Gurnee IL 60031-1877 | |
| (847) 662-7755 | |
| (847) 662-7723 |
| Full Name | Children's Dentistry Of Lake County And Associates, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5250 Grand Ave Ste 7, Gurnee, Illinois |
| Authorized Official Name and Position | Christine S Lee (PRESIDENT) |
| Authorized Official Contact | 8476627755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Lake County And Associates, P.c. 5250 Grand Ave Ste 7 Gurnee IL 60031-1877 Ph: (847) 662-7755 | Children's Dentistry Of Lake County And Associates, P.c. 5250 Grand Ave Ste 7 Gurnee IL 60031-1877 Ph: (847) 662-7755 |
| NPI Number | 1124245527 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124245527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 021001782 (Illinois) | Primary |
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