| De Los Reyes Dental Ltd. | |
|
300 N. Milwaukee Avenue Ste. A Lake Villa IL 60046 | |
| (847) 699-2358 | |
| (847) 265-0744 |
| Full Name | De Los Reyes Dental Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 N. Milwaukee Avenue, Lake Villa, Illinois |
| Authorized Official Name and Position | Amelia A. De Los Reyes (OFFICE MANAGER) |
| Authorized Official Contact | 8476992358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Los Reyes Dental Ltd. P.o. Box 188 Lake Villa IL 60046 Ph: (847) 699-2358 | De Los Reyes Dental Ltd. 300 N. Milwaukee Avenue Ste. A Lake Villa IL 60046 Ph: (847) 699-2358 |
| NPI Number | 1245463371 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245463371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-021017 (Illinois) | Primary |
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