Organization
LAURA LAITA,DDS & KEITH E PETRANEK,DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH E. PETRANEK D.D.S. (GENERAL PARTNER)
(708) 344-3434
Entity
Organization
Contact information
Practice address
937 S MANNHEIM RD, WESTCHESTER, IL 60154-2552
(708) 344-3434
Mailing address
937 S MANNHEIM RD, WESTCHESTER, IL 60154-2552
(708) 344-3434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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