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Individual

DR. PETER A. PATSAVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7001 W 127TH ST, SUITE 101, PALOS HEIGHTS, IL 60463-1573
(708) 361-1190
(708) 361-5541
Mailing address
7001 W 127TH ST, SUITE 101, PALOS HEIGHTS, IL 60463-1573
(708) 361-1190
(708) 361-5541

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020055
IL

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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