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Organization

WAYNE M MRJENOVICH DDS PC

Active
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Organization

WAYNE M MRJENOVICH DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WAYNE MICHAEL MRJENOVICH DDS (PRESIDENT)
(708) 895-0500
Entity
Organization

Contact information

Practice address
19111 BURNHAM AVE, LANSING, IL 60438
(708) 895-0500
(708) 895-7700
Mailing address
19111 BURNHAM AVE, LANSING, IL 60438
(708) 895-0500
(708) 895-7700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
12/06/2006
Last updated
07/24/2007
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