Individual
DR. LAURENT J FORCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14 LILAC LN, LOMBARD, IL 60148-2626
(630) 627-1495
Mailing address
14 LILAC LN, LOMBARD, IL 60148-2626
(630) 627-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032402
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
11/12/2021
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