person
Mr. Lee R Bomgaars, DDS
Pediatric Dentist in Waukegan, Illinois
NPI 1710045489

Lee R Bomgaars is a Pediatric Dentist based in Waukegan, IL and is specialized in Pediatric Dentistry. Lee R Bomgaars practices in Waukegan, IL and has the professional credentials of DDS. The NPI Number for Lee R Bomgaars is 1710045489 and holds a License No. 21000637 (Illinois).

The current practice location address for Lee R Bomgaars is 2634 Grand Ave, Waukegan, IL and can be reached out via phone at 847-662-7588 and via fax at 847-662-3843.

Location: 2634 Grand Ave, Waukegan, IL, 60085-2458
person
Provider Profile Details
NPI Number
1710045489
Provider Name
Lee R Bomgaars
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2634 Grand Ave, Waukegan, IL, 60085-2458
Phone Number
847-662-7588
Fax Number
847-662-3843
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2634 Grand Ave
City
State
Zip
60085-2458
Phone Number
847-662-7588
Fax Number
847-662-3843
person
Provider Business Mailing Address Details
Address
2634 Grand Ave
City
State
Zip
60085-2458
Phone Number
847-662-7588
Fax Number
847-662-3843
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
21000637 (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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