Individual
MICHAEL LEBIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E NORTH AVE STE 9, VILLA PARK, IL 60181-1218
(630) 530-4949
Mailing address
401 E NORTH AVE STE 9, VILLA PARK, IL 60181-1218
(630) 530-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022734
IL
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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