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Lemont Dental Clinic

Dentist in Lemont, IL. Organization (NPI-2).

NPI number1972964005
StatusActive
Last updated in NPPESMar 17, 2016

Details

NPI
1972964005
Entity type
Organization (NPI-2)
Legal business name
Lemont Dental Clinic
Organization subpart
No
Enumeration date
Mar 17, 2016
Last updated
Mar 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019.028040ILYes

Practice location

14240 McCarthy Rd.
Lemont, IL 60439-9393

Phone 630-914-1500 · Fax 630-914-1501

Mailing address

14240 McCarthy Rd
Lemont, IL 60439-9393

Phone 630-914-1500 · Fax 630-914-1501

Authorized official

Beata Dederowski
President
7089141500

Is something wrong?

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Other Dentist providers in Lemont, IL

All 16 Dentist providers in Lemont · All 398 providers in Lemont

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