Individual
DR. LANETTE MARIE DISERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4130 W JEFFERSON ST, JOLIET, IL 60431-4720
(815) 744-4333
(815) 744-4363
Mailing address
3400 BANKVIEW DR, JOLIET, IL 60431-4802
(815) 725-4182
(815) 744-4363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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