Organization
LILLIAN OBUCINA DDS PC
Active
Other names
Lakefront Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN OBUCINA DDS (PRESIDENT)
(312) 505-2918
Entity
Organization
Contact information
Practice address
111 NORTH WABASH, SUITE 1522, CHICAGO, IL 60202
(312) 909-2839
Mailing address
111 NORTH WABASH, SUITE 1522, CHICAGO, IL 60202
(312) 909-2839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021263
IL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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