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Organization
LAKE COOK DENTAL CENTER P C
Active
Organization
LAKE COOK DENTAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSANNA MIRANDA LESNIAK D.D.S. (PRESIDENT)
(847) 955-2331
Entity
Organization
Contact information
Practice address
1207 MCHENRY ROAD, SUITE 215, BUFFALO GROVE, IL 60089-1371
(847) 955-2331
(847) 955-2332
Mailing address
1207 MCHENRY RD, SUITE 215, BUFFALO GROVE, IL 60089-1371
(847) 955-2331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019025184
IL
Other
Enumeration date
02/29/2008
Last updated
06/06/2012
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