Laura Laita,dds & Keith E Petranek,dds

NPI 1003036914 - Dentist - 1223G0001X

NPI Details
NPI 1003036914
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEITH E. KEITH
Position GENERAL PARTNER
Phone (708) 344-3434
Fax
Practice Location
937 S MANNHEIM RD
WESTCHESTER IL, 60154-2552, US
Phone (708) 344-3434
Fax
Business Location
937 S MANNHEIM RD
WESTCHESTER IL, 60154-2552, US
Phone (708) 344-3434
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Laura Laita,dds & Keith E Petranek,dds NPI is 1003036914, taxonomy code is 1223G0001X Laura Laita,dds & Keith E Petranek,dds physically located at 937 S Mannheim Rd, Westchester IL, 60154-2552. NPI Number 1033115704 has the healthcare provider type.

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1003036914 NPI number is provided on an as is basis without warranty of any kind. 1003036914 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Laita,dds & Keith E Petranek,dds are for informational purposes only.