Organization
LINCOLN WAY FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVIS DMD (OWNER/DENTIST)
(815) 469-4009
Entity
Organization
Contact information
Practice address
11238 LINCOLN HWY, MOKENA, IL 60448-8208
(815) 469-4009
Mailing address
11238 LINCOLN HWY, MOKENA, IL 60448-8208
(815) 469-4009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-026473
IL
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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