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Organization
VITO P. LASUSA, D.D.S., LLC
Active
Organization
VITO P. LASUSA, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITO P LASUSA DDS (DENTIST)
(312) 236-2968
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 2025, CHICAGO, IL 60602-1708
(312) 236-2968
(312) 443-1156
Mailing address
25 E WASHINGTON ST, SUITE 2025, CHICAGO, IL 60602-1708
(312) 236-2968
(312) 443-1156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-024973
IL
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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