Lance Scott Baumgarten DDS

NPI 1053386292 - Dentist - 122300000X

NPI Details
NPI 1053386292
Gender Male
Enumeration Date 02/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3001 A 6TH STREET
GREAT LAKES IL, 60088, US
Phone (847) 688-5460
Fax
Business Location
1906 HEATHER LN
JOHNSBURG IL, 60050-1151, US
Phone (815) 363-9037
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Lance Scott Baumgarten DDS NPI is 1053386292, taxonomy code is 122300000X Lance Scott Baumgarten DDS physically located at 3001 A 6th Street, Great Lakes IL, 60088. NPI Number Lance Scott Baumgarten DDS has the Individual type.

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1053386292 NPI number is provided on an as is basis without warranty of any kind. 1053386292 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Scott Baumgarten DDS are for informational purposes only.