| Meadow Lake Dental Care | |
|
3941 75th St Suite 102 Aurora IL 60504-7913 | |
| (630) 851-5130 | |
| Not Available |
| Full Name | Meadow Lake Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3941 75th St, Aurora, Illinois |
| Authorized Official Name and Position | Paul V Rickard (PRESIDENT) |
| Authorized Official Contact | 6308515130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Lake Dental Care 3941 75th St Suite 102 Aurora IL 60504-7913 Ph: (630) 851-5130 | Meadow Lake Dental Care 3941 75th St Suite 102 Aurora IL 60504-7913 Ph: (630) 851-5130 |
| NPI Number | 1669696456 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669696456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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