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Contact Information

DE LOS REYES DENTAL LTD.
300 N. MILWAUKEE AVENUE
STE. A
LAKE VILLA, IL60046
 Phone: 847-699-2358
 Fax: 847-265-0744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DE LOS REYES DENTAL LTD · (Female)

NPI # 1245463371
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2009
Last updated 08/24/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019-021017
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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