Organization
INTERNATIONAL DENTAL PROFESSIONALS
Active
Other names
Lakewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TERUYUKI HATAKEYAMA D.D.S. (PRESIDENT OWNER)
(847) 669-4088
Entity
Organization
Contact information
Practice address
9411 ACKMAN RD, LAKE IN THE HILLS, IL 60156-9706
(847) 669-4088
(847) 669-4018
Mailing address
9411 ACKMAN RD, LAKE IN THE HILLS, IL 60156-9706
(847) 669-4088
(847) 669-4018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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