Organization
LISLE DENTAL CENTER P.C.
Active
Other names
Lisle Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMEET BAGAI DDS (PRESIDENT)
(773) 368-1920
Entity
Organization
Contact information
Practice address
4712 MAIN ST, LISLE, IL 60532-1749
(630) 964-0944
Mailing address
4712 MAIN ST, LISLE, IL 60532-1749
(630) 964-0944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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