Organization
PAUL LAZARI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LAZARI DDS (PRESIDENT)
(408) 781-2933
Entity
Organization
Contact information
Practice address
161 N MARION ST, OAK PARK, IL 60301-1032
(708) 613-5023
Mailing address
161 N MARION ST, OAK PARK, IL 60301-1032
(708) 613-5023
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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