Laramie Dental

NPI 1275737207 - Dentist - 1223G0001X

NPI Details
NPI 1275737207
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANITA ANITA
Position OWNER
Phone (773) 889-3333
Fax (773) 889-3336
Practice Location
2556 N LARAMIE
CHICAGO IL, 60639, US
Phone (773) 889-3333
Fax (773) 889-3336
Business Location
1700 W FOSTER
CHICAGO IL, 60640, US
Phone (773) 334-4200
Fax (773) 334-4532
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 01924538
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According to our database, Laramie Dental NPI is 1275737207, taxonomy code is 1223G0001X and license number is 01924538, license state is located at Illinois. Laramie Dental physically located at 2556 N Laramie, Chicago IL, 60639. NPI Number 1033115704 has the healthcare provider type.

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1275737207 NPI number is provided on an as is basis without warranty of any kind. 1275737207 is maintained by the National Plan & Provider Enumeration System. The contents of Laramie Dental are for informational purposes only.