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Crystal Lake Pediatric Dental Ltd.
Pediatric Dentist in Crystal Lake, Illinois
NPI 1043311681

Crystal Lake Pediatric Dental Ltd. is a Pediatric Dentist based in Crystal Lake, IL and is specialized in Pediatric Dentistry. Crystal Lake Pediatric Dental Ltd. practices in Crystal Lake, IL. The NPI Number for Crystal Lake Pediatric Dental Ltd. is 1043311681 and holds a License No. (Illinois).

The current practice location address for Crystal Lake Pediatric Dental Ltd. is 820 E Terra Cotta Ave, Crystal Lake, IL and can be reached out via phone at 815-356-7960 and via fax at 815-356-8051.

Location: 820 E Terra Cotta Ave, Crystal Lake, IL, 60014-3649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043311681
Provider Name
Crystal Lake Pediatric Dental Ltd.
Credential
Provider Entity Type
Organization
Address
820 E Terra Cotta Ave, Crystal Lake, IL, 60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
820 E Terra Cotta Ave
City
Crystal Lake
State
Illinois
Zip
60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
person
Provider Business Mailing Address Details
Address
820 E Terra Cotta Ave
City
Crystal Lake
State
Illinois
Zip
60014-3649
Phone Number
815-356-7960
Fax Number
815-356-8051
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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