Organization
DENTELLIGENCE INC
Active
Other names
Lake County Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE MIRZA DDS (CEO)
(331) 425-0937
Entity
Organization
Contact information
Practice address
1298 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3784
(847) 316-0679
Mailing address
1618 ELDERBERRY DR, LIBERTYVILLE, IL 60048-5306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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