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Organization
AUSTIN LACKE DMD PLLC
Active
Organization
AUSTIN LACKE DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN LACKE DMD (DENTIST)
(630) 200-9222
Entity
Organization
Contact information
Practice address
1852 FREDERICKSBURG LN, AURORA, IL 60503-3647
(630) 200-9222
Mailing address
1852 FREDERICKSBURG LN, AURORA, IL 60503-3647
(630) 200-9222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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