Organization
PRAIRIE DENTAL LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY LUKAWSKI DDS (PRESIDENT)
(815) 439-8500
Entity
Organization
Contact information
Practice address
23959 W RENWICK RD, PLAINFIELD, IL 60544-2108
(815) 439-8500
(815) 439-9214
Mailing address
23959 W RENWICK RD, PLAINFIELD, IL 60544-2108
(815) 439-8500
(815) 439-9214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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