Organization
MBA DENTAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN LAZAR DDS (DENTIST)
(773) 973-2550
Entity
Organization
Contact information
Practice address
3034 W DEVON AVE, STE #202, CHICAGO, IL 60659
(773) 973-2550
(773) 973-2550
Mailing address
3034 W DEVON AVE, STE #202, CHICAGO, IL 60659
(773) 973-2550
(773) 973-2550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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