Lee R Bomgaars DDS

NPI 1710045489 - Dentist - 1223P0221X

NPI Details
NPI 1710045489
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2634 GRAND AVE
#106
WAUKEGAN IL, 60085-2458, US
Phone (847) 662-7588
Fax (847) 662-3843
Business Location
2634 GRAND AVE
#106
WAUKEGAN IL, 60085-2458, US
Phone (847) 662-7588
Fax (847) 662-3843
Toxanomy
Taxonomy Code 1223P0221X
License State Illinois
License Number 21000637
Remove 1710045489 NPI Number
 

According to our database, Mr. Lee R Bomgaars DDS NPI is 1710045489, taxonomy code is 1223P0221X and license number is 21000637, license state is located at Illinois. Lee R Bomgaars DDS physically located at 2634 Grand Ave, Waukegan IL, 60085-2458. NPI Number Lee R Bomgaars DDS has the Individual type.

Sponsored links

1710045489 NPI number is provided on an as is basis without warranty of any kind. 1710045489 is maintained by the National Plan & Provider Enumeration System. The contents of Lee R Bomgaars DDS are for informational purposes only.