| Lemont Dental Clinic | |
|
14240 Mccarthy Rd. Lemont IL 60439-9393 | |
| (630) 914-1500 | |
| (630) 914-1501 |
| Full Name | Lemont Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 14240 Mccarthy Rd., Lemont, Illinois |
| Authorized Official Name and Position | Beata Dederowski (PRESIDENT) |
| Authorized Official Contact | 7089141500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemont Dental Clinic 14240 Mccarthy Rd Lemont IL 60439-9393 Ph: (630) 914-1500 | Lemont Dental Clinic 14240 Mccarthy Rd. Lemont IL 60439-9393 Ph: (630) 914-1500 |
| NPI Number | 1972964005 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972964005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.028040 (Illinois) | Primary |
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