Organization
LAKE VIEW DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A EMALFARB D.D.S. (PRESIDENT)
(773) 472-6322
Entity
Organization
Contact information
Practice address
1014 W BELMONT AVE, CHICAGO, IL 60657-3303
(773) 472-6322
(773) 472-6321
Mailing address
1014 W BELMONT AVE, CHICAGO, IL 60657-3303
(773) 472-6322
(773) 472-6321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021676
IL
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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