Organization
LINCOLN COURT DENTAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RANDY MIKOS D.D.S. (OWNER/PRESIDENT)
(847) 679-5558
Entity
Organization
Contact information
Practice address
8037 LINCOLN AVE, SKOKIE, IL 60077-3612
(847) 679-5558
Mailing address
8037 LINCOLN AVE, SKOKIE, IL 60077-3612
(847) 679-5558
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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