Individual
DR. LAWRENCE THOMAS MICHET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9541 S PULASKI RD, EVERGREEN PARK, IL 60805-1911
(708) 424-2220
(708) 424-7743
Mailing address
9541 S PULASKI RD, EVERGREEN PARK, IL 60805-1911
(708) 424-2220
(708) 424-7743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A15365
IL
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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