Lavergne Dental Care Pc

NPI 1245415256 - Dentist - 1223G0001X

NPI Details
NPI 1245415256
Enumeration Date 01/09/2008
Last Updated 01/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHERIN B SHERIN
Position PRESIDENT
Phone (708) 652-1080
Fax (708) 652-3080
Practice Location
4939 W 14TH ST
CICERO IL, 60804-1419, US
Phone (708) 652-1080
Fax (708) 652-3080
Business Location
4939 W 14TH ST
CICERO IL, 60804-1419, US
Phone (708) 652-1080
Fax (708) 652-3080
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Lavergne Dental Care Pc NPI is 1245415256, taxonomy code is 1223G0001X Lavergne Dental Care Pc physically located at 4939 W 14th St, Cicero IL, 60804-1419. NPI Number 1033115704 has the healthcare provider type.

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1245415256 NPI number is provided on an as is basis without warranty of any kind. 1245415256 is maintained by the National Plan & Provider Enumeration System. The contents of Lavergne Dental Care Pc are for informational purposes only.