| Lake Forest Dental Associates | |
|
133 E Laurel Ave Lake Forest IL 60045-1326 | |
| (847) 234-6440 | |
| Not Available |
| Full Name | Lake Forest Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 133 E Laurel Ave, Lake Forest, Illinois |
| Authorized Official Name and Position | Monika Tincher (OWNER) |
| Authorized Official Contact | 8057953618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Forest Dental Associates 133 E Laurel Ave Lake Forest IL 60045-1326 Ph: (847) 234-6440 | Lake Forest Dental Associates 133 E Laurel Ave Lake Forest IL 60045-1326 Ph: (847) 234-6440 |
| NPI Number | 1538533070 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.029812 (Illinois) | Primary |
Anderson Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 S. Waukegan Rd., Suite 106, Lake Forest, IL 60045 Phone: 847-295-0515 Fax: 847-234-0048 | |
Lake Forest Dental Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Laurel Ave, Lake Forest, IL 60045 Phone: 847-234-6440 Fax: 847-234-2195 | |
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