Individual
MEGANN LEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
450 GREEN BAY RD, KENILWORTH, IL 60043-1074
(847) 251-6228
Mailing address
10162 SEAGRAVE DR, FISHERS, IN 46037-9461
(317) 695-3796
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019.034927
IL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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