Leix Dental Pc | |
8505 Redtail Drive Suite J Village Of Lakewood IL 60014 | |
(815) 455-8186 | |
(815) 455-8188 |
Full Name | Leix Dental Pc |
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Speciality | Clinic/center - Dental |
Location | 8505 Redtail Drive, Village Of Lakewood, Illinois |
Authorized Official Name and Position | Nirvana L Leix (PRESIDENT) |
Authorized Official Contact | 8154558186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leix Dental Pc 8505 Redtail Drive Suite J Village Of Lakewood IL 60014 Ph: (815) 455-8186 | Leix Dental Pc 8505 Redtail Drive Suite J Village Of Lakewood IL 60014 Ph: (815) 455-8186 |
NPI Number | 1679740138 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 05/14/2008 |
Identifier | Type | State | Issuer |
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1679740138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |