NPI 1003085465

Lake Cook Dental Center P C

Organisation Dental Clinic/Center Buffalo Grove, IL

Practice location

Address: 1207 McHenry Road Suite 215, Buffalo Grove, IL 60089-1371
Phone: (847) 955-2331
Fax: (847) 955-2332
Mailing address: 1207 McHenry Rd Suite 215, Buffalo Grove, IL 60089-1371

Authorised official

Name: Rosanna Miranda Lesniak
Title: President
Phone: (847) 955-2331

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 019025184 (IL)

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1003085465
Entity type: Organization
NPI issued: 29 Feb 2008
Record last updated: 6 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.