Individual
MS. LAURA PAIGE GART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
310 S GREENLEAF ST STE 203, GURNEE, IL 60031-5708
(847) 623-5915
(847) 623-1174
Mailing address
310 S GREENLEAF ST STE 203, GURNEE, IL 60031-5708
(847) 623-5915
(847) 623-1174
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
319.019276
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN23987
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2014
Last updated
06/02/2021
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