Ralph Henry Laurell JR. D.D.S.

NPI 1013114388 - Dentist - 1223G0001X

NPI Details
NPI 1013114388
Gender Male
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2233 GREEN BAY RD
NORTH CHICAGO IL, 60064-3006, US
Phone (847) 689-2900
Fax
Business Location
130 SEQUOIA LN
DEERFIELD IL, 60015-4429, US
Phone (847) 945-3329
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19012850
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According to our database, Dr. Ralph Henry Laurell JR. D.D.S. NPI is 1013114388, taxonomy code is 1223G0001X and license number is 19012850, license state is located at Illinois. Ralph Henry Laurell JR. D.D.S. physically located at 2233 Green Bay Rd, North Chicago IL, 60064-3006. NPI Number Ralph Henry Laurell JR. D.D.S. has the Individual type.

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1013114388 NPI number is provided on an as is basis without warranty of any kind. 1013114388 is maintained by the National Plan & Provider Enumeration System. The contents of Ralph Henry Laurell JR. D.D.S. are for informational purposes only.