Organization
AVID DENTAL LINDENHURST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENAL L GOEL DDS (OWNER/PRESIDENT)
(847) 530-2828
Entity
Organization
Contact information
Practice address
2246 E. GRAND AVE, LAKE VILLA, IL 60046
(847) 265-6444
(847) 265-6464
Mailing address
2246 E. GRAND AVE, LAKE VILLA, IL 60046
(847) 265-6444
(847) 265-6464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
03/11/2010
Last updated
07/18/2019
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