| Lifetime Family Dental,pc | |
|
1890 Silver Cross Blvd Suite 470 New Lenox IL 60451-9508 | |
| (815) 717-8793 | |
| (815) 717-8796 |
| Full Name | Lifetime Family Dental,pc |
|---|---|
| Speciality | Dentist |
| Location | 1890 Silver Cross Blvd, New Lenox, Illinois |
| Authorized Official Name and Position | Aroon Pal (PRESIDENT) |
| Authorized Official Contact | 8157178793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Family Dental,pc 1890 Silver Cross Blvd Suite 470 New Lenox IL 60451-9508 Ph: (815) 717-8793 | Lifetime Family Dental,pc 1890 Silver Cross Blvd Suite 470 New Lenox IL 60451-9508 Ph: (815) 717-8793 |
| NPI Number | 1487911624 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487911624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022659 (Illinois) | Primary |
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