Great Lakes Dental PC
Great Lakes Dental PC is a Dental Clinic/Center in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1418 S Milwaukee Ave Ste 4Libertyville, IL 60048-3796
Phone: (815) 209-6272
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019026289 (IL) |
|---|
Record details
| NPI number | 1447657234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anshuman Soni — President / Dentist · (815) 209-6272 |
| Other names | Great Lakes Dental Solutions |
| NPI enumerated | November 23, 2014 |
| Last updated in NPPES | December 16, 2014 |
| Mailing address | 1418 S Milwaukee Ave, Suite 4, Libertyville, IL 60048-3796 |
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