| Austin Lacke Dmd Pllc | |
|
1852 Fredericksburg Ln Aurora IL 60503-3647 | |
| (630) 200-9222 | |
| Not Available |
| Full Name | Austin Lacke Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1852 Fredericksburg Ln, Aurora, Illinois |
| Authorized Official Name and Position | Austin Lacke (DENTIST) |
| Authorized Official Contact | 6302009222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Lacke Dmd Pllc 1852 Fredericksburg Ln Aurora IL 60503-3647 Ph: (630) 200-9222 | Austin Lacke Dmd Pllc 1852 Fredericksburg Ln Aurora IL 60503-3647 Ph: (630) 200-9222 |
| NPI Number | 1407593924 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407593924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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