Organization
LAMANTIA & MAZANEK LTD.
Active
Other names
Suburban Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MAZANEK D.D.S (OWNER)
(847) 823-0260
Entity
Organization
Contact information
Practice address
7942 W OAKTON ST, NILES, IL 60714-2457
(847) 823-0260
(847) 823-0269
Mailing address
7942 W OAKTON ST, NILES, IL 60714-2457
(847) 823-0260
(847) 823-0269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019018545
IL
1223G0001X
General Practice Dentistry
Primary
019018548
IL
Other
Enumeration date
03/27/2008
Last updated
01/12/2010
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