Organization
LARISA FELDMAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA FELDMAN DDA (PRESIDENT)
(847) 638-6060
Entity
Organization
Contact information
Practice address
307 W DUNDEE RD, BUFFALO GROVE, IL 60089-3545
(847) 638-6060
Mailing address
648 LONG COVE CT, RIVERWOODS, IL 60015-3850
(847) 638-6060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-025103
IL
Other
Enumeration date
01/22/2007
Last updated
03/07/2012
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