Organization
M LAUCK SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES LAUCK D.D.S. (PRESIDENT)
(630) 833-0395
Entity
Organization
Contact information
Practice address
360 W BUTTERFIELD RD, SUITE 220, ELMHURST, IL 60126-5068
(630) 833-0395
Mailing address
360 W BUTTERFIELD RD, SUITE 220, ELMHURST, IL 60126-5068
(630) 833-0395
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019013525
IL
Other
Enumeration date
04/19/2008
Last updated
04/24/2008
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