Organization
ROBERT T MISERENDINO DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MISERENDINO D.D.S. (PRESIDENT)
(708) 458-7552
Entity
Organization
Contact information
Practice address
8535 W 79TH ST, JUSTICE, IL 60458-2281
(708) 458-7552
Mailing address
8535 W 79TH ST, JUSTICE, IL 60458-2281
(708) 458-7552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019015140
IL
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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