Individual
DR. DENNIS J. LAZZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1129 RANDALL CT, GENEVA, IL 60134-3911
(630) 232-2277
(630) 232-0354
Mailing address
1129 RANDALL CT, GENEVA, IL 60134-3911
(630) 232-2277
(630) 232-0354
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.000906
IL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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