Organization
LARS JOHNSON, DDS, PC
Active
Other names
Forest Edge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARS ALAN JOHNSON DDS (OWNER DENTIST)
(312) 388-3289
Entity
Organization
Contact information
Practice address
1722 W ALGONQUIN RD, HOFFMAN ESTATES, IL 60192-1573
(847) 934-8070
(847) 934-0930
Mailing address
1722 W ALGONQUIN RD, HOFFMAN ESTATES, IL 60192-1573
(847) 934-8070
(847) 934-0930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026401
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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