Organization
ARCHER FAMILY DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANETA M LACEK (PRESIDENT)
(773) 586-0799
Entity
Organization
Contact information
Practice address
6615 W ARCHER AVE, CHICAGO, IL 60638-2407
(773) 586-9700
Mailing address
6615 W ARCHER AVE, CHICAGO, IL 60638-2407
(773) 586-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028658
IL
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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