Organization
RISORIUS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD BOTEZATU DMD (OWNER)
(847) 965-9211
Entity
Organization
Contact information
Practice address
9211 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 965-9211
Mailing address
9211 WAUKEGAN RD, MORTON GROVE, IL 60053-2102
(847) 965-9211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028082
IL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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