Organization
LAWRENCE DENTAL GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KOROVILAS D.D.S. (PRESIDENT)
(773) 588-7660
Entity
Organization
Contact information
Practice address
3607 W LAWRENCE AVE, CHICAGO, IL 60625-5605
(773) 588-7660
Mailing address
3607 W LAWRENCE AVE, CHICAGO, IL 60625-5605
(773) 588-7660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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