| Lifetime Family Dental, P.c. | |
|
1890 Silver Cross Blvd Ste 470 New Lenox IL 60451-9528 | |
| (815) 717-8793 | |
| Not Available |
| Full Name | Lifetime Family Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1890 Silver Cross Blvd Ste 470, New Lenox, Illinois |
| Authorized Official Name and Position | Justina Mockunas (OWNER) |
| Authorized Official Contact | 5617137812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Family Dental, P.c. 15309 S Buttercup Ct Plainfield IL 60544-3156 Ph: (708) 263-3741 | Lifetime Family Dental, P.c. 1890 Silver Cross Blvd Ste 470 New Lenox IL 60451-9528 Ph: (815) 717-8793 |
| NPI Number | 1851006753 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851006753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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