Organization
LUX DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCJAN BARTUSIAK DDS (PRESIDENT)
(847) 553-4301
Entity
Organization
Contact information
Practice address
1008 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3463
(847) 533-4301
Mailing address
1008 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019026712
IL
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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