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Organization
JOSEPH R. SPERLAZZO D.D.S., P.C.
Active
Organization
JOSEPH R. SPERLAZZO D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R. SPERLAZZO D.D.S. (PRESIDENT)
(630) 773-9166
Entity
Organization
Contact information
Practice address
421 W IRVING PARK RD, ITASCA, IL 60143-2039
(630) 773-9166
Mailing address
421 W IRVING PARK RD, ITASCA, IL 60143-2039
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019020307
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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