Vito P Lasusa D.D.S.

NPI 1053433532 - Dentist - 122300000X

NPI Details
NPI 1053433532
Gender Male
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
25 E WASHINGTON ST
SUITE 2025
CHICAGO IL, 60602-1708, US
Phone (312) 236-2968
Fax
Business Location
25 E WASHINGTON ST
SUITE 2025
CHICAGO IL, 60602-1708, US
Phone (312) 236-2968
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Vito P Lasusa D.D.S. NPI is 1053433532, taxonomy code is 122300000X Vito P Lasusa D.D.S. physically located at 25 E Washington St, Chicago IL, 60602-1708. NPI Number Vito P Lasusa D.D.S. has the Individual type.

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1053433532 NPI number is provided on an as is basis without warranty of any kind. 1053433532 is maintained by the National Plan & Provider Enumeration System. The contents of Vito P Lasusa D.D.S. are for informational purposes only.