Dentique - Lemont | |
15543 E 127th St Ste 103 Lemont IL 60439-8584 | |
(630) 243-8300 | |
(630) 243-9493 |
Full Name | Dentique - Lemont |
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Speciality | Dentist |
Location | 15543 E 127th St Ste 103, Lemont, Illinois |
Authorized Official Name and Position | Pradeep Khurana (OWNER) |
Authorized Official Contact | 3123999595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentique - Lemont 15543 E 127th St Ste 103 Lemont IL 60439-8584 Ph: (630) 243-8300 | Dentique - Lemont 15543 E 127th St Ste 103 Lemont IL 60439-8584 Ph: (630) 243-8300 |
NPI Number | 1740959345 |
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Provider Enumeration Date | 09/08/2021 |
Last Update Date | 04/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740959345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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