Organization
LEADING EDGE DENTAL CENTER LTD
Active
Other names
Lincolnwood Dental Center Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A GOONE DDS (PRESIDENT)
(847) 679-0110
Entity
Organization
Contact information
Practice address
4355 HOWARD ST, SKOKIE, IL 60076-3755
(847) 679-0110
Mailing address
4355 HOWARD ST, SKOKIE, IL 60076-3755
(847) 679-0110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
08/21/2007
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