Individual
MRS. LEESA ANN SASIC-MITSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS PC
Contact information
Practice address
1804 E LINCOLN HWY, NEW LENOX, IL 60451
(815) 462-4838
(815) 462-7748
Mailing address
1804 E LINCOLN HWY, NEW LENOX, IL 60451
(815) 462-4838
(815) 462-7748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018604
IL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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