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Organization
FOREST ORTHODONTICS AND PEDIATRIC DENTISTRY
Active
Organization
FOREST ORTHODONTICS AND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANOKHI D BOCK DMD (OWNER / PARTNER)
(847) 234-6641
Entity
Organization
Contact information
Practice address
810 S WAUKEGAN RD, SUITE 101, LAKE FOREST, IL 60045
(847) 615-5437
(847) 615-2955
Mailing address
810 S WAUKEGAN RD, SUITE 101, LAKE FOREST, IL 60045
(847) 615-5437
(847) 615-2955
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002150
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021002219
IL
Other
Enumeration date
01/30/2009
Last updated
08/13/2020
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