| Lakeview Dental Center | |
|
32 N Cass Ave Westmont IL 60559-1602 | |
| (630) 271-9816 | |
| (630) 271-9814 |
| Full Name | Lakeview Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 32 N Cass Ave, Westmont, Illinois |
| Authorized Official Name and Position | Edward Ming Cho (PRESIDENT) |
| Authorized Official Contact | 6302719816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental Center 32 N Cass Ave Westmont IL 60559-1602 Ph: (630) 271-9816 | Lakeview Dental Center 32 N Cass Ave Westmont IL 60559-1602 Ph: (630) 271-9816 |
| NPI Number | 1639598980 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639598980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-020092 (Illinois) | Primary |
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