Individual
DR. BRIAN ROBERT SLADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
410 SHERWOOD RD, LA GRANGE PARK, IL 60526-1968
(708) 352-6499
Mailing address
410 SHERWOOD AVE, LAGRANGE PARK, IL 60526
(708) 352-6499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL 019-019210
IL
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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