Individual
DR. PAUL DEAN LAZAZZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
750 S STATE ST, ELGIN, IL 60123-7612
(847) 742-1040
(847) 429-4948
Mailing address
750 S STATE ST, ELGIN, IL 60123-7612
(847) 742-1040
(847) 429-4948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019014343
IL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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