Organization
L W HENSELMAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESTER W HENSELMAN DDS (DENTIST)
(847) 272-2181
Entity
Organization
Contact information
Practice address
1310 SHERMER RD STE 200, NORTHBROOK, IL 60062-4549
(847) 272-2181
(847) 272-2390
Mailing address
1310 SHERMER RD STE 200, NORTHBROOK, IL 60062-4549
(847) 272-2181
(847) 272-2390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-014214
IL
Other
Enumeration date
12/28/2006
Last updated
02/07/2012
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