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Organization
RICHARD G. ROSENBLATT, DMD, P.C.
Active
Organization
RICHARD G. ROSENBLATT, DMD, P.C.
Active
Other names
Forest North Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROSENBLATT DMD (OWNER DENTIST)
(847) 234-4405
Entity
Organization
Contact information
Practice address
101 N WAUKEGAN RD STE 1200, LAKE BLUFF, IL 60044-1686
(847) 234-4405
Mailing address
101 N WAUKEGAN RD STE 1200, LAKE BLUFF, IL 60044-1686
(847) 234-4405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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