Individual
DR. ANTHONY MICHAEL LAPORTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1614 W CENTRAL RD, SUITE 106, ARLINGTON HEIGHTS, IL 60005-2490
(847) 398-0811
Mailing address
5N346 ANDRENE LN, ITASCA, IL 60143-2423
(630) 400-8811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019029004
DENTAL LICENSE NUBMER
IL
Enumeration date
06/12/2012
Last updated
06/12/2012
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