Organization
PETER A LO DESTRO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A LO DESTRO DDS (DENTIST)
(630) 898-3100
Entity
Organization
Contact information
Practice address
4230 WESTBROOK DR, AURORA, IL 60504-4125
(630) 898-3100
(630) 898-1164
Mailing address
4230 WESTBROOK DR, AURORA, IL 60504-4125
(630) 898-3100
(630) 898-1164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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