Organization
RISORIUS DENTAL LLC
Active
Other names
Risorius Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD BOTEZATU DMD (DENTIST OWNER)
(847) 965-9211
Entity
Organization
Contact information
Practice address
9211 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 965-9211
(847) 583-9211
Mailing address
9211 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 965-9211
(847) 583-9211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028082
IL
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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