Individual
DR. LEO DUMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
444 N NORTHWEST HWY, SUITE 325, PARK RIDGE, IL 60068
(847) 296-6100
(847) 296-8706
Mailing address
444 N NORTHWEST HWY, SUITE 325, PARK RIDGE, IL 60068
(847) 296-6100
(847) 296-8706
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002152 19025627
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13700642
IL
Other
Enumeration date
09/16/2006
Last updated
07/11/2008
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