Austin Lacke Dmd Pllc | |
1852 Fredericksburg Ln Aurora IL 60503-3647 | |
(630) 200-9222 | |
Not Available |
Full Name | Austin Lacke Dmd Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1852 Fredericksburg Ln, Aurora, Illinois |
Authorized Official Name and Position | Austin Lacke (DENTIST) |
Authorized Official Contact | 6302009222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Austin Lacke Dmd Pllc 1852 Fredericksburg Ln Aurora IL 60503-3647 Ph: (630) 200-9222 | Austin Lacke Dmd Pllc 1852 Fredericksburg Ln Aurora IL 60503-3647 Ph: (630) 200-9222 |
NPI Number | 1407593924 |
---|---|
Provider Enumeration Date | 05/16/2022 |
Last Update Date | 05/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407593924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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