Organization
LISA KONZ, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M KONZ DDS (PRESIDENT OF PROFESSIONAL CORPORATI)
(847) 367-3050
Entity
Organization
Contact information
Practice address
747 N. MILWAUKEE AVE., SUITE 103, LIBERTYVILLE, IL 60048
(847) 367-3050
(847) 367-3053
Mailing address
747 N. MILWAUKEE AVE., SUITE 103, LIBERTYVILLE, IL 60048
(847) 367-3050
(847) 367-3053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024756
IL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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