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Organization
SERETIS DENTAL LLC
Active
Organization
SERETIS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SERETIS (OWNER)
(815) 933-7779
Entity
Organization
Contact information
Practice address
1501 N STATE ROUTE 50, BOURBONNAIS, IL 60914-4429
(815) 933-7779
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
06/21/2023
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