Individual
DR. LAWRENCE RICHARD GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.F.A.G.D.
Contact information
Practice address
4260 WESTBROOK DR, AURORA, IL 60504-8136
(630) 851-0450
Mailing address
4260 WESTBROOK DR, AURORA, IL 60504-8136
(630) 851-0450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A14848
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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