| Four Lakes Dental | |
|
859 E Belvidere Rd Grayslake IL 60030-2581 | |
| (847) 231-2537 | |
| Not Available |
| Full Name | Four Lakes Dental |
|---|---|
| Speciality | Dentist |
| Location | 859 E Belvidere Rd, Grayslake, Illinois |
| Authorized Official Name and Position | Amir Seifi (DENTIST/OWNER) |
| Authorized Official Contact | 8472312537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Lakes Dental 859 E Belvidere Rd Grayslake IL 60030-2581 Ph: (847) 231-2537 | Four Lakes Dental 859 E Belvidere Rd Grayslake IL 60030-2581 Ph: (847) 231-2537 |
| NPI Number | 1144618000 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144618000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028892 (Illinois) | Primary |
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