Individual
DR. ANETA M LACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
811 W WELLINGTON AVE, DEPARTMENT OF DENTISTRY, CHICAGO, IL 60657-5123
(773) 871-6138
Mailing address
6615 W ARCHER AVE, CHICAGO, IL 60638-2407
(708) 606-7782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028658
IL
Other
Enumeration date
06/27/2011
Last updated
06/11/2012
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