Organization
EDC OF LEMONT PLLC
Active
Other names
Dentique - Lemont
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP KHURANA (OWNER)
(312) 399-9595
Entity
Organization
Contact information
Practice address
15543 E 127TH ST STE 103, LEMONT, IL 60439-8584
(630) 243-8300
(630) 243-9493
Mailing address
15543 E 127TH ST STE 103, LEMONT, IL 60439-8584
(630) 243-8300
(630) 243-9493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
04/25/2023
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