Organization
LANARK DENTAL CLINIC, P.C.
Active
Other names
Lanark Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WALTERS (PRESIDENT)
(815) 493-2244
Entity
Organization
Contact information
Practice address
120 S BROAD ST, LANARK, IL 61046-1204
(815) 493-2244
(815) 493-2922
Mailing address
120 S BROAD ST, P.O. BOX 43, LANARK, IL 61046-1204
(815) 493-2244
(815) 493-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
12/20/2007
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