Organization
LERIAS & QUESEA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHIE V LERIAS (OWNER)
(630) 766-3840
Entity
Organization
Contact information
Practice address
142 W IRVING PARK RD, WOOD DALE, IL 60191-1341
(630) 766-3840
Mailing address
142 W. IRVING PARK RD, WOOD DALE, IL 60191
(630) 766-3840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026070
IL
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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