Individual
GORAN LAZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
109 ANNAPOLIS DR, VERNON HILLS, IL 60061-2057
(773) 517-7510
Mailing address
109 ANNAPOLIS DR, VERNON HILLS, IL 60061-2057
(773) 517-7510
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020011192
IL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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