CRYSTAL LAKE PEDIATRIC DENTAL LTD. is a pediatric dentistry dentist in Crystal Lake, IL. The provider is 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. CRYSTAL LAKE PEDIATRIC DENTAL LTD. NPI is 1043311681. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
820 E TERRA COTTA AVE
111
CRYSTAL LAKE, IL
ZIP 60014-649
Phone: (815) 356-7960
Fax: (815) 356-8051
The provider's authorized official is Anthony Louis Minutillo .
The authorized official title is President and has the following contact phone number (815) 356-7960.
The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.