Organization
JOHN P FIORENZA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETER FIORENZA DDS (PRES DENTIST)
(708) 636-0565
Entity
Organization
Contact information
Practice address
5425 WEST 95TH STREET, OAK LAWN, IL 60453
(708) 636-0565
(708) 636-0566
Mailing address
5425 WEST 95TH STREET, OAK LAWN, IL 60453
(708) 636-0565
(708) 636-0566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019015935
IL
Other
Enumeration date
09/07/2006
Last updated
10/14/2013
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