Organization
LEMONT DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEATA DEDEROWSKI D.M.D (PRESIDENT)
(708) 914-1500
Entity
Organization
Contact information
Practice address
14240 MCCARTHY RD., LEMONT, IL 60439-9393
(630) 914-1500
(630) 914-1501
Mailing address
14240 MCCARTHY RD, LEMONT, IL 60439-9393
(630) 914-1500
(630) 914-1501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028040
IL
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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