Organization
LUDFORD DENTAL, P.C.
Active
Other names
Rt. 14 Dentistry & Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. J. LUDFORD D.D.S. (DENTIST)
(815) 455-3368
Entity
Organization
Contact information
Practice address
6315 NORTHWEST HWY, SUITE A, CRYSTAL LAKE, IL 60014-7939
(815) 455-3368
(815) 455-3306
Mailing address
6315 NORTHWEST HWY, SUITE A, CRYSTAL LAKE, IL 60014-7939
(815) 455-3368
(815) 455-3306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-016700
IL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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