| Lakewood Dental | |
|
9411 Ackman Rd Lake In The Hills IL 60156-9706 | |
| (847) 669-4088 | |
| (847) 669-4018 |
| Full Name | Lakewood Dental |
|---|---|
| Speciality | Dentist |
| Location | 9411 Ackman Rd, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Teruyuki Hatakeyama (PRESIDENT OWNER) |
| Authorized Official Contact | 8476694088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental 9411 Ackman Rd Lake In The Hills IL 60156-9706 Ph: (847) 669-4088 | Lakewood Dental 9411 Ackman Rd Lake In The Hills IL 60156-9706 Ph: (847) 669-4088 |
| NPI Number | 1104954478 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104954478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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