| Lead Dental Group | |
|
18w333 Roosevelt Rd Ste C Lombard IL 60148-4180 | |
| (630) 832-1500 | |
| Not Available |
| Full Name | Lead Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 18w333 Roosevelt Rd Ste C, Lombard, Illinois |
| Authorized Official Name and Position | Shilpa Mailapur (MEMBER) |
| Authorized Official Contact | 6302708327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lead Dental Group 18w333 Roosevelt Road Suite C Lombard IL 60148 Ph: (630) 832-1500 | Lead Dental Group 18w333 Roosevelt Rd Ste C Lombard IL 60148-4180 Ph: (630) 832-1500 |
| NPI Number | 1497136204 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497136204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 021002344 (Illinois) | Primary |
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