Organization
LANE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STOCK (INSURANCE SPECIALIST)
(920) 857-1966
Entity
Organization
Contact information
Practice address
940 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9068
(630) 830-8330
(630) 823-8180
Mailing address
940 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9068
(630) 830-8330
(630) 823-8180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029593
IL
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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