| Lumina Dental Llc | |
|
1424 S Butterfield Rd Mundelein IL 60060-9424 | |
| (847) 407-1411 | |
| (847) 407-1412 |
| Full Name | Lumina Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1424 S Butterfield Rd, Mundelein, Illinois |
| Authorized Official Name and Position | Pratik Patel (PROPRIETOR) |
| Authorized Official Contact | 2146063029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Dental Llc 1424 S Butterfield Rd Mundelein IL 60060-9424 Ph: (847) 407-1411 | Lumina Dental Llc 1424 S Butterfield Rd Mundelein IL 60060-9424 Ph: (847) 407-1411 |
| NPI Number | 1730923764 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730923764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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