Organization
RICHARD G. ROSENBLATT, DMD, P.C.
Active
Other names
Forest North Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROSENBLATT DMD (OWNER DENTIST)
(847) 234-4405
Entity
Organization
Contact information
Practice address
101 N WAUKEGAN RD STE 1200, LAKE BLUFF, IL 60044-1686
(847) 234-4405
Mailing address
101 N WAUKEGAN RD STE 1200, LAKE BLUFF, IL 60044-1686
(847) 234-4405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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