Organization
HIDDEN LAKES DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E CROWL D.D.S. (PRESIDENT)
(630) 759-0077
Entity
Organization
Contact information
Practice address
680 W BOUGHTON RD, BOLINGBROOK, IL 60440-2185
(630) 759-0077
(630) 759-0082
Mailing address
680 W BOUGHTON RD, BOLINGBROOK, IL 60440-2185
(630) 759-0077
(630) 759-0082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060-007659
IL
Other
Enumeration date
09/21/2006
Last updated
04/29/2008
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