Organization
PALOMINO DENTAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA LEMAIRE D.D.S (DENTIST)
(312) 738-1701
Entity
Organization
Contact information
Practice address
1702 S HALSTED ST, CHICAGO, IL 60608-2330
(312) 738-1701
(312) 738-1711
Mailing address
1702 S HALSTED ST, CHICAGO, IL 60608-2330
(312) 738-1701
(312) 738-1711
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019025681
IL
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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