Individual
DR. LARRY JOSEPH HOWENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10606 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1900
(618) 397-6727
(618) 397-6745
Mailing address
10606 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1900
(618) 397-6727
(618) 397-6745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A14874
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346308467
BLUE CROSS BLUE SHEILD OF IL
IL
Enumeration date
12/04/2006
Last updated
08/28/2008
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