Claude Charles Lerose DDS

NPI 1851407647 - Dentist - 122300000X

NPI Details
NPI 1851407647
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 HOLLISTER DRIVE
STE #190
LIBERTYVILLE IL, 60048, US
Phone (847) 680-0975
Fax
Business Location
1900 HOLLISTER DRIVE
STE #190
LIBERTYVILLE IL, 60048, US
Phone (847) 680-0975
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Claude Charles Lerose DDS NPI is 1851407647, taxonomy code is 122300000X Claude Charles Lerose DDS physically located at 1900 Hollister Drive, Libertyville IL, 60048. NPI Number Claude Charles Lerose DDS has the Individual type.

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1851407647 NPI number is provided on an as is basis without warranty of any kind. 1851407647 is maintained by the National Plan & Provider Enumeration System. The contents of Claude Charles Lerose DDS are for informational purposes only.