| Lily Cache Dental | |
|
761 E Boughton Rd Bolingbrook IL 60440 | |
| (630) 739-9430 | |
| Not Available |
| Full Name | Lily Cache Dental |
|---|---|
| Speciality | Dentist |
| Location | 761 E Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Suzy Azalea (DENTIST) |
| Authorized Official Contact | 6307399430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Cache Dental 761 E Boughton Rd Bolingbrook IL 60440 Ph: (630) 739-9430 | Lily Cache Dental 761 E Boughton Rd Bolingbrook IL 60440 Ph: (630) 739-9430 |
| NPI Number | 1184780876 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184780876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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