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Organization

SANDPIPER DENTAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THERESA LAO (PRESIDENT)
(630) 588-1700
Entity
Organization

Contact information

Practice address
1N141 COUNTY FARM RD, SUITE 150, WINFIELD, IL 60190-2032
(630) 588-1700
(630) 588-1706
Mailing address
1N141 COUNTY FARM RD, SUITE 150, WINFIELD, IL 60190-2032
(630) 588-1700
(630) 588-1706

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-021716
IL

Other

Enumeration date
02/13/2007
Last updated
05/03/2008
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