| Forest Edge Dental | |
|
1722 W Algonquin Rd Hoffman Estates IL 60192-1573 | |
| (847) 934-8070 | |
| (847) 934-0930 |
| Full Name | Forest Edge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1722 W Algonquin Rd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Lars Alan Johnson (OWNER DENTIST) |
| Authorized Official Contact | 3123883289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Edge Dental 1722 W Algonquin Rd Hoffman Estates IL 60192-1573 Ph: (847) 934-8070 | Forest Edge Dental 1722 W Algonquin Rd Hoffman Estates IL 60192-1573 Ph: (847) 934-8070 |
| NPI Number | 1235406612 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235406612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026401 (Illinois) | Primary |
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