Organization
CHILDREN'S DENTISTRY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DANA HERER D.M.D., M.S. (OWNER)
(847) 726-0300
Entity
Organization
Contact information
Practice address
195 S RAND RD, SUITE 110, LAKE ZURICH, IL 60047-2205
(847) 726-0300
(847) 726-3799
Mailing address
195 S RAND RD, SUITE 110, LAKE ZURICH, IL 60047-2205
(847) 726-0300
(847) 726-3799
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019014868
IL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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