Individual
DR. GEORGE NEIL GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 E GRAND AVE, LAKE VILLA, IL 60046-7810
(847) 356-3777
(847) 356-3864
Mailing address
605 E GRAND AVE, LAKE VILLA, IL 60046-7810
(847) 356-3777
(847) 356-3864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730191321
TYPE 2 G. NEIL GARRETT DDS PC
IL
Enumeration date
07/10/2008
Last updated
07/10/2008
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