Nirvana L Leix DDS

NPI 1043382633 - Dentist - 1223G0001X

NPI Details
NPI 1043382633
Gender Female
Enumeration Date 11/15/2006
Last Updated 05/13/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
8505 REDTAIL DRIVE
SUITE J
VILLAGE OF LAKEWOOD IL, 60014, US
Phone (815) 455-8186
Fax (815) 455-8188
Business Location
8505 REDTAIL DRIVE
SUITE J
VILLAGE OF LAKEWOOD IL, 60014, US
Phone (815) 455-8186
Fax (815) 455-8188
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19026139
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According to our database, Dr. Nirvana L Leix DDS NPI is 1043382633, taxonomy code is 1223G0001X and license number is 19026139, license state is located at Illinois. Nirvana L Leix DDS physically located at 8505 Redtail Drive, Village Of Lakewood IL, 60014. NPI Number Nirvana L Leix DDS has the Individual type.

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1043382633 NPI number is provided on an as is basis without warranty of any kind. 1043382633 is maintained by the National Plan & Provider Enumeration System. The contents of Nirvana L Leix DDS are for informational purposes only.