Organization
ILLINOIS VALLEY ENDODONTICS LLC
Active
Other names
Lee M. Ceresa DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE MICHAEL CERESA DDS (OWNER/DENTIST)
(815) 224-3636
Entity
Organization
Contact information
Practice address
1601 4TH ST, PERU, IL 61354-3507
(815) 224-3636
(815) 220-1479
Mailing address
1601 4TH ST, PERU, IL 61354-3507
(815) 224-3636
(815) 220-1479
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
IL
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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